GRACE EVELYN VALENTINE

MADISON, WI
NPI1528405404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  5-037)
Enumeration Date2013-05-31
Last Update Date2013-05-31
Business Address
-- GRACE EVELYN VALENTINE MA, BC-DMT, DTRL
16 N HANCOCK ST
MADISON, WI 53703-2802
Phone number: 608-251-0908
Mailing Address
-- GRACE EVELYN VALENTINE MA, BC-DMT, DTRL
16 N HANCOCK ST
MADISON, WI 53703-2802
Phone number: 608-251-0908