JEFFREY WILLIAM GROSS

MARINETTE, WI
NPI1720865488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  20388-130)
Enumeration Date2023-09-14
Last Update Date2023-09-14
Business Address
MR. JEFFREY WILLIAM GROSS SAC-IT
1557 CLEVELAND AVE
MARINETTE, WI 54143-3920
Phone number: 715-330-6272
Mailing Address
MR. JEFFREY WILLIAM GROSS SAC-IT
1557 CLEVELAND AVE
MARINETTE, WI 54143-3920
Phone number: 715-330-6272
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