Individual
MISS ABBY JO GROTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
394 WILLIAMSTOWNE # L10, DELAFIELD, WI 53018-2322
(262) 422-7932
Mailing address
394 WILLIAMSTOWNE # L10, DELAFIELD, WI 53018-2322
(262) 422-7932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16653-130
WI
104100000X
Social Worker
Primary
128594-121
WI
Other
Enumeration date
03/29/2012
Last updated
08/31/2015
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