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Individual

SHERI H GREV ER-SKOMSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SAC

Contact information

Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3200
Mailing address
PO BOX 1005, ELKHORN, WI 53121-1005
(262) 741-3200
(262) 741-3217

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15424-131
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15424-131
SAC
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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