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Individual
MR. BRIAN LEE GROESCHEL
Active
Individual
MR. BRIAN LEE GROESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15461-132
WI
101YP2500X
Professional Counselor
Primary
4566-125
WI
Other
Enumeration date
05/13/2009
Last updated
02/15/2017
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