Individual
HOLLY GRAY SCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-6107
Mailing address
W9230 COUNTY HWY E, SPOONER, WI 54801-8858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06567
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43558300
—
WI
Enumeration date
05/16/2007
Last updated
07/08/2007
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