Individual
MS. MARCIA JEAN DEGROTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7991
Mailing address
1501 AIRPORT RD, WAUKESHA, WI 53188-2461
(262) 548-7991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2872-123
WI
Other
Enumeration date
12/08/2006
Last updated
07/31/2007
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