Individual
LAWRENCE RICHARD HUCK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3733 DEWEY ST, MANITOWOC, WI 54220-5844
(920) 663-1035
Mailing address
3 RIVERVIEW DR, MANITOWOC, WI 54220-3767
(920) 663-1035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19473-130
WI
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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