Individual
COLLEEN MICHELLE GROMOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,LMFT
Contact information
Practice address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Mailing address
201 MAIN ST STE 500, LA CROSSE, WI 54601-0716
(608) 668-4005
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
618-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952475204
—
WI
05
—
43578800
—
WI
Enumeration date
11/20/2006
Last updated
07/19/2022
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