Carole M St.Laurent-Grov in De Pere - Professional

Carole M St.Laurent-Grov - NPI 1023020377

Carole M St.Laurent-Grov is a Professional in De Pere, Wisconsin. Carole M St.Laurent-Grov practices all healthcare services and medical treatments related to Professional. The NPI Number for Carole M St.Laurent-Grov is 1023020377. The last update date is 2009-01-14.

Carole M St.Laurent-Grov's current location address is 1325 Angels Path Rd, De Pere, Wisconsin. You can contact this provider via phone number 9203382855 and fax number 9203389270. The mailing address for Carole M St.Laurent-Grov is 1325 Angels Path Rd, De Pere, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Carole M St.Laurent-Grov
Address 1325 Angels Path Rd, De Pere, Wisconsin
Phone Number 9203382855
Fax Number 9203389270
Sole Proprietor N
Credentials LPC

NPI Number Detail

NPI Number 1023020377
Provider Enumeration Date 2006-08-13
Last Updated Date 2009-01-14

Provider Mailing Address Detail

Address 1325 Angels Path Rd
City De Pere
State Wisconsin (WI)
Post Code 541154050
Phone Number 9203382855
Fax Number 9203389270

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 2704-125
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40944300 WI --

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FAQs about Carole M St.Laurent-Grov

What is the unique identification code assigned to Carole M St.Laurent-Grov by the Centers for Medicare & Medicaid Services?

The Carole M St.Laurent-Grov has been issued the NPI (National Provider Identifier) 1023020377. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Carole M St.Laurent-Grov?

The Carole M St.Laurent-Grov is physically situated at 1325 Angels Path Rd, in the city of De Pere, state of WI, with the postal code 541154050.

What is Carole M St.Laurent-Grov's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Carole M St.Laurent-Grov is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.

On what date did the Carole M St.Laurent-Grov receive its 1023020377 assignment from the Centers for Medicare & Medicaid Services?

The Carole M St.Laurent-Grov was assigned its 1023020377 by the Centers for Medicare & Medicaid Services on 2006-08-13.

As of what date were the Carole M St.Laurent-Grov's details last updated?

The information pertaining to the Carole M St.Laurent-Grov, including its address, specialty, and other details, was most recently updated on 2009-01-14.

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