Individual
AMBER LEE GRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A. SOCIAL WORK
Contact information
Practice address
3415 CUSTER ST, MANITOWOC, WI 54220-4356
(920) 652-2440
(920) 652-2441
Mailing address
3415 CUSTER ST, MANITOWOC, WI 54220-4356
(920) 652-2440
(920) 652-2441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10510-120
WI
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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