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Individual

MR. RICHARD J GROHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8330 N TEUTONIA AVE, BROWN DEER, WI 53209-1550
(262) 289-3274
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
Q647157159917
MN

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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