Individual
MS. JULIE M GRUENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
705 S 24TH AVE STE 402, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Mailing address
705 S 24TH AVE STE 402, WAUSAU, WI 54401-5242
(715) 848-1457
(715) 848-2959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3264-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40955700
—
WI
Enumeration date
08/05/2006
Last updated
07/08/2007
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