Individual
ADAM SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
727 8TH ST, BARABOO, WI 53913-1794
(608) 477-8364
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3337226
WI
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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