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Organization

HONEY SUCKLE BUSH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES ETHER NORTON (DIRECTOR)
(715) 451-3251
Entity
Organization

Contact information

Practice address
1011 S CHERRY AVE, MARSHFIELD, WI 54449-4245
(715) 451-3251
Mailing address
1011 S CHERRY AVE, MARSHFIELD, WI 54449-4245
(715) 451-3251

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist

Other

Enumeration date
05/16/2024
Last updated
07/24/2024
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