SCOTT P GRANGER

GREEN BAY, WI
NPI1861919805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15260-135)
Enumeration Date2017-08-29
Last Update Date2022-07-21
Business Address
Mr. SCOTT P GRANGER CSAC
3150 GERSHWIN DR
GREEN BAY, WI 54311-4328
Phone number: 920-391-4700
Mailing Address
Mr. SCOTT P GRANGER CSAC
3150 GERSHWIN DR
GREEN BAY, WI 54311-4328
Phone number: 920-391-4700
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