Individual
GRACE M KNOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
2914 INDUSTRIAL DR, MADISON, WI 53713-4047
(608) 223-3311
(608) 204-8585
Mailing address
4433 RIDGE RD, DEERFIELD, WI 53531-9104
(608) 422-1045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17203-131
WI
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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