Individual
NICOLE GRAWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
(415) 301-0868
Mailing address
210 WASHINGTON ST, WAUSAU, WI 54403-5543
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20421-130
WI
Other
Enumeration date
11/05/2019
Last updated
01/05/2024
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