Organization
BREAKING GRIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYARA TABBERT LMFT (JOINT OWNERSHIP)
(608) 344-0053
Entity
Organization
Contact information
Practice address
W10174 29TH ST, CAMP DOUGLAS, WI 54618-9709
(608) 344-0053
Mailing address
W10174 29TH ST, CAMP DOUGLAS, WI 54618-9709
(608) 344-0053
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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