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Individual
AMY GRUEN
Active
Individual
AMY GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7994226
WI
101YP2500X
Professional Counselor
Primary
12828-125
WI
Other
Enumeration date
08/09/2024
Last updated
09/02/2026
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