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1902897010
PAUL GRADY
PORT WASHINGTON, WI
NPI
1902897010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 807123)
Enumeration Date
2005-10-31
Last Update Date
2014-10-27
Business Address
PAUL GRADY LCSW
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8200
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Mailing Address
PAUL GRADY LCSW
121 W MAIN ST
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8200
Copy
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