PROFESSIONAL SERVICES GROUP

KENOSHA, WI
NPI1861504813
Entity TypeOrganization
Authorized ContactJONATHAN GRAPENGIESER
Clinical Director
262-654-1004
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2006-08-31
Last Update Date2022-06-16
Business Address
PROFESSIONAL SERVICES GROUP
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
PROFESSIONAL SERVICES GROUP
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004
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