Individual
DAMIRA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11303 W APPLETON LN, MILWAUKEE, WI 53225-1200
(414) 469-8152
Mailing address
11303 W APPLETON LN, MILWAUKEE, WI 53225-1200
(414) 469-8152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7043125
WI
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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