MARK W GRADY

WOODRUFF, WI
NPI1154411528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  14200)
Enumeration Date2006-10-13
Last Update Date2007-07-09
Business Address
MARK W GRADY CADCIII
240 MAPLE STREET
WOODRUFF, WI 54568-0470
Phone number: 715-356-8000
Mailing Address
MARK W GRADY CADCIII
240 MAPLE STREET PO BOX 470
WOODRUFF, WI 54568-0470
Phone number: 715-356-8000
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