Individual
MR. SCOTT P GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4700
(920) 391-4731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15260-135
WI
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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