Individual
SHAUNIE ELIZABETH GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 PIER CT, FOND DU LAC, WI 54935-5827
(224) 632-0117
Mailing address
15 PIER CT, FOND DU LAC, WI 54935-5827
(224) 632-0117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9617
WI
Other
Enumeration date
04/19/2017
Last updated
10/26/2022
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