Individual
SADIE GRAVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8865
Mailing address
711 4TH ST, MOSINEE, WI 54455-1640
(715) 297-4811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5101-226
WI
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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