Organization
I AM ELIZABETH GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORVA R HARE PHD (OWNER)
(414) 324-0263
Entity
Organization
Contact information
Practice address
7970 N 47TH ST, BROWN DEER, WI 53223-4417
(414) 324-0263
(414) 306-6573
Mailing address
7970 N 47TH ST, BROWN DEER, WI 53223-4417
(414) 324-0263
(414) 306-6573
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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