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1861919805
SCOTT P GRANGER
GREEN BAY, WI
NPI
1861919805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15260-135)
Enumeration Date
2017-08-29
Last Update Date
2022-07-21
Business Address
Mr. SCOTT P GRANGER CSAC
3150 GERSHWIN DR
GREEN BAY, WI 54311-4328
Phone number: 920-391-4700
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Mailing Address
Mr. SCOTT P GRANGER CSAC
3150 GERSHWIN DR
GREEN BAY, WI 54311-4328
Phone number: 920-391-4700
Copy
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