Individual
MR. THOMAS E MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
612 CLERMONT ST, ANTIGO, WI 54409-1942
(715) 627-0371
(715) 845-8483
Mailing address
911 CLERMONT ST, ANTIGO, WI 54409-1901
(715) 623-7650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
841-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39612500
—
WI
Enumeration date
02/06/2007
Last updated
07/08/2007
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