Organization
AVOLEN, LLC
Active
Other names
Avolen Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA MARY DANIELS CMT (OWNER)
(262) 567-3000
Entity
Organization
Contact information
Practice address
206 S. SILVER LAKE ST., OCONOMOWOC, WI 53066
(262) 567-3000
(262) 567-5082
Mailing address
206 S. SILVER LAKE ST., OCONOMOWOC, WI 53066
(262) 567-3000
(262) 567-5082
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
225700000X
Massage Therapist
4330-046
WI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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