Individual
NICOLE BORRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23062 WHITEHALL RD, INDEPENDENCE, WI 54747-9065
(715) 985-3452
Mailing address
23062 WHITEHALL RD, INDEPENDENCE, WI 54747-9065
(715) 985-3452
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16066
WI
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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