SearchWisconsin101YP2500X

Prairie Degraw, LPC

NPI 1649620725 · on the registry since 2016

Practice

Address
17 S. River St.
Suite 254
Janesville, WI 53548
Phone
(608) 755-5260
Fax
(608) 755-5267
Organisation at this address
Trivium Llc
Trivium Llc
Cooperative Educational Service Agency 2
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin