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General NPI Number Information
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NPI Number | 1841082716
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Entity Type | Individual
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Provider Name | SARAH AURELIA GROESCHEL MS, LPC-IT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 2976 TRIVERTON PIKE DR STE 207
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City | FITCHBURG
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State | WI
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Zip | 53711-5840
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Country | US
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Telephone | 841-160-8205
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Fax |
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Provider Business Mailing Address
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Address Line | N8200 STATE ROAD 175
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City | THERESA
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State | WI
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Zip | 53091-9765
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Country | US
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Telephone | 920-382-9152
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 82072276
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License Number State | WI
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