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Individual

MRS. EMILY ELESE GRENDAHL RISINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3015 N 114TH ST, WAUWATOSA, WI 53222-4208
(414) 431-4444
Mailing address
1128 ELM LAWN ST, WAUWATOSA, WI 53213-3032
(507) 269-7672

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/13/2013
Last updated
09/13/2013
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