Individual
MONICA L GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-3133
(414) 266-1761
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3496-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376068379
—
WI
Enumeration date
08/10/2017
Last updated
01/25/2021
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