Individual
TINA GROESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
Mailing address
1478 KENWOOD DR STE 1, MENASHA, WI 54952-1161
(920) 886-9319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
132452
WI
1041C0700X
Clinical Social Worker
Primary
11983
WI
Other
Enumeration date
10/01/2021
Last updated
10/21/2024
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