Individual
ASHLEE JO VAN DE WETTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 N VIEW CT, GREEN BAY, WI 54303-6233
(920) 378-8116
Mailing address
1325 S TAYLOR ST APT 2, GREEN BAY, WI 54304-2865
(920) 378-8116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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