GARY GENE GROTE

WAUSAU, WI
NPI1457493280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15180)
Enumeration Date2007-02-12
Last Update Date2016-11-09
Business Address
-- GARY GENE GROTE CSAC
114 GRAND AVE
WAUSAU, WI 54403-6214
Phone number: 715-845-7175
Mailing Address
-- GARY GENE GROTE CSAC
114 GRAND AVE
WAUSAU, WI 54403-6214
Phone number: 715-845-7175
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