Individual
MELINDA GRULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3015 N 114TH ST, WAUWATOSA, WI 53222-4208
(414) 431-4444
Mailing address
2761 N 69TH ST, MILWAUKEE, WI 53210-1212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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