SARAH J KRAVICK

PORTAGE, WI
NPI1144264375
Former NameSARAH J DIEFENTHALER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  659-124)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- SARAH J KRAVICK LMFT
2639 NEW PINERY RD SUITE 1
PORTAGE, WI 53901-1110
Phone number: 608-742-5020
Mailing Address
-- SARAH J KRAVICK LMFT
627 GROVE ST
PORTAGE, WI 53901-1458
Phone number: 608-745-1799
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