Individual
MISS CARTER RILEY GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
10012 W CAPITOL DR, MILWAUKEE, WI 53222-1338
(414) 810-4844
Mailing address
2000 E JARVIS ST, SHOREWOOD, WI 53211-2001
(608) 963-6101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7917-226
WI
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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