EMPRESS ANDREA GRAY

MILWAUKEE, WI
NPI1235546110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17180-130)
Enumeration Date2014-07-12
Last Update Date2014-07-12
Business Address
-- EMPRESS ANDREA GRAY
2048 N 34TH ST
MILWAUKEE, WI 53208-1967
Phone number: 414-400-1526
Mailing Address
-- EMPRESS ANDREA GRAY
2048 N 34TH ST
MILWAUKEE, WI 53208-1967
Phone number: 414-400-1526
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