Individual
ANN M GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
6321 23RD AVE, KENOSHA, WI 53143-4801
(414) 455-3879
(866) 719-3024
Mailing address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
(866) 719-3024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3365-226
WI
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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