Individual
ANN MARI G GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W156N8327 PILGRIM RD, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
(262) 251-1113
Mailing address
1366 STATE ROAD 164, HUBERTUS, WI 53033-9426
(262) 628-2517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
826-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18003623002
—
WI
Enumeration date
03/09/2007
Last updated
07/08/2007
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