Individual
SHERYL L. GRAEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 S WASHBURN ST, OSHKOSH, WI 54904-7975
(920) 236-8570
Mailing address
1570 MIDWAY PL, MENASHA, WI 54952-1165
(920) 720-1464
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12903-131
WI
1041C0700X
Clinical Social Worker
Primary
3374-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43745330
—
WI
Enumeration date
12/30/2008
Last updated
12/30/2008
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