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Organization

GREGORY COWAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY SCOTT COWAN PH.D. (PSYCHOLOGIST)
(715) 393-3953
Entity
Organization

Contact information

Practice address
3301 CRANBERRY BLVD, FLOOR 2, WESTON, WI 54476-5216
(715) 393-3953
Mailing address
1408 WOODLAND RIDGE RD, WAUSAU, WI 54403-2362
(715) 675-2183

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2343-57
WI

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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