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1336670959
SARAH GROSS
WAUWATOSA, WI
NPI
1336670959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 18107-130)
Enumeration Date
2017-03-24
Last Update Date
2017-03-30
Business Address
-- SARAH GROSS
3800 N MAYFAIR RD
WAUWATOSA, WI 53222-2213
Phone number: 414-536-8333
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Mailing Address
-- SARAH GROSS
3800 N MAYFAIR RD
WAUWATOSA, WI 53222-2213
Phone number: 414-536-8333
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