Individual
KEISHA GRUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N MAIN ST, JANESVILLE, WI 53545-3096
(608) 580-0031
(608) 580-0038
Mailing address
111 N MAIN ST, JANESVILLE, WI 53545-3096
(608) 580-0031
(608) 580-0038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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