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1912958737
KENNETH L GRIZZLE
BROOKFIELD, WI
NPI
1912958737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist Clinical Child & Adolescent
(Licence: WI 2187)
Enumeration Date
2006-05-15
Last Update Date
2013-11-21
Business Address
DR. KENNETH L GRIZZLE PHD
13800 W NORTH AVE CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005-4977
Phone number: 262-432-6600
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Mailing Address
DR. KENNETH L GRIZZLE PHD
13800 W NORTH AVE CHILD DEVELOPMENT CENTER OF CHW
BROOKFIELD, WI 53005-4977
Phone number: 262-432-6600
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