Individual
ELISE MARY EUNICE WARRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 E WALNUT ST, GREEN BAY, WI 54301-4001
(920) 435-2093
(920) 435-2580
Mailing address
621 E WALNUT ST, GREEN BAY, WI 54301-4001
(920) 435-2093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20088
WI
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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