LAURENCE GANSCHOW

BROWN DEER, WI
NPI1588719637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1736-132)
Enumeration Date2007-01-25
Last Update Date2008-07-10
Business Address
-- LAURENCE GANSCHOW CADC III
8200 W BROWN DEER RD SUITE 300A
BROWN DEER, WI 53223-1706
Phone number: 414-362-8147
Mailing Address
-- LAURENCE GANSCHOW CADC III
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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