ANNA GRACE HOLLY

MILWAUKEE, WI
NPI1619260874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16045-130)
Enumeration Date2011-05-20
Last Update Date2011-08-29
Business Address
-- ANNA GRACE HOLLY SAC-IT
600 W VIRGINIA ST SUITE 203
MILWAUKEE, WI 53204-1500
Phone number: 414-831-4500
Mailing Address
-- ANNA GRACE HOLLY SAC-IT
827 N 17TH ST APT. 304
MILWAUKEE, WI 53233-3302
Phone number: 920-450-0960
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