Individual
ADAM THOMAS BEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 MISSION PL, RICE LAKE, WI 54868-1923
(715) 554-1536
Mailing address
320 MISSION PL, RICE LAKE, WI 54868-1923
(715) 554-1536
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
WI
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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