STACEY LYN VAN GRINSVEN

DE PERE, WI
NPI1104018514
Former NameSTACEY LYN LAMERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  2953-154)
Enumeration Date2007-08-10
Last Update Date2024-01-18
Business Address
Mrs. STACEY LYN VAN GRINSVEN MS, CFY-SLP
1601 LAWRENCE DR STE 100
DE PERE, WI 54115-3931
Phone number: 920-496-4700
Mailing Address
Mrs. STACEY LYN VAN GRINSVEN MS, CFY-SLP
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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