Individual
EMILY JO GRUNWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
(920) 232-2338
Mailing address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
(920) 232-2338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20265
WI
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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