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Individual

RYAN MATTHEW GROH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
641 MONROE ST, SUITE 111, SHEBOYGAN FALLS, WI 53085-1358
(920) 627-2793
Mailing address
641 MONROE ST, SUITE 111, SHEBOYGAN FALLS, WI 53085-1358
(920) 627-2793

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4834-125
WI

Other

Enumeration date
07/09/2012
Last updated
12/26/2012
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