GREGORY STROUT

WEST BEND, WI
NPI1295129344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16868-130)
Enumeration Date2015-03-26
Last Update Date2015-03-26
Business Address
-- GREGORY STROUT SAC-IT
1626 CLARENCE CT
WEST BEND, WI 53095-8533
Phone number: 262-338-8611
Mailing Address
-- GREGORY STROUT SAC-IT
1626 CLARENCE CT
WEST BEND, WI 53095-8533
Phone number: 262-338-8611
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MB COUNSELING CENTER OF WEST BEND, LLC