Search › Wisconsin › 101YA0400X
Corie Hargrove, CADC-III
NPI 1720124019 · on the registry since 2007
Practice
- Address
- 2405 Northwestern Ave # Ll15
Racine, WI 53404 - Phone
- (262) 260-8370
- Fax
- (262) 260-8538
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-06
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