Individual
SARAH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
Mailing address
3800 N MAYFAIR RD, WAUWATOSA, WI 53222-2213
(414) 536-8333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18107-130
WI
Other
Enumeration date
03/24/2017
Last updated
03/30/2017
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