Individual
GRADA JOHANNA WUNDERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1228 ELM ST, MANCHESTER, NH 03101-1349
(603) 668-4111
(603) 628-7757
Mailing address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
(603) 628-7757
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/17/2008
Last updated
09/15/2014
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