Individual
AMBER GRAVITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 LARSEN RD, GREEN BAY, WI 54303-4863
(920) 593-8041
Mailing address
2701 LARSEN RD, GREEN BAY, WI 54303-4863
(920) 593-8041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1635-226
WI
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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