Individual
KATHERINE LORRAINE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW
Contact information
Practice address
845 PARKSIDE ST, RIPON, WI 54971-8505
(920) 926-4200
(920) 926-8933
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9339-123
WI
Other
Enumeration date
04/23/2019
Last updated
09/01/2022
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