Organization
GROW MY LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA LEE STROHM MSW (OWNER/OPERATOR)
(414) 803-6372
Entity
Organization
Contact information
Practice address
2411 MAGNOLIA DR, PLOVER, WI 54467-2951
(715) 254-5844
Mailing address
2411 MAGNOLIA DR, PLOVER, WI 54467-2951
(715) 254-5844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
127906121
WI
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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