Individual
DENNIS R ELMERGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
Mailing address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8361-125
WI
Other
Enumeration date
07/25/2019
Last updated
06/16/2023
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