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1467190694
GRACE HEALING AND WELLNESS CENTER, LLC.
PEWAUKEE, WI
NPI
1467190694
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Entity Type
Organization
Authorized Contact
ANGELIQUE LEWIS
Psychologist
414-350-6693
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2022-05-26
Last Update Date
2022-05-26
Business Address
GRACE HEALING AND WELLNESS CENTER, LLC.
N28W23000 ROUNDY DR STE 105
PEWAUKEE, WI 53072-7300
Phone number: 414-350-6693
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Mailing Address
GRACE HEALING AND WELLNESS CENTER, LLC.
N28W23000 ROUNDY DR STE 105
PEWAUKEE, WI 53072-7300
Phone number: 414-350-6693
Copy
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