| |
903 Main Avenue, Crivitz, WI 54114-0460 | |
(715) 854-2717 | |
(715) 854-2554 |
Full Name | |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 903 Main Avenue, Crivitz, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306063185 | NPI | - | NPPES |
41219100 | Medicaid | WI |
Mailing Address | Practice Location Address |
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Po Box 460, Crivitz, WI 54114-0460 Ph: (715) 854-2717 | 903 Main Avenue, Crivitz, WI 54114-0460 Ph: (715) 854-2717 |
Mrs. Heather Ann Gromala, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 903 Main Ave, Crivitz, WI 54114 Phone: 715-854-2717 |