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Individual

ALYSSA LYNN GRIMSLED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW

Contact information

Practice address
530 S WATER ST, PLATTEVILLE, WI 53818-3626
(608) 348-5088
Mailing address
N169 OLD HIGHWAY 35, STODDARD, WI 54658-9717
(414) 208-5566

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131946-121
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100102232
WI
Enumeration date
07/14/2020
Last updated
06/08/2023
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