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Mark W Grady, CADCIII
Addiction (Substance Use Disorder) Counselor in Woodruff, Wisconsin
NPI 1154411528

Mark W Grady is an Addiction (Substance Use Disorder) Counselor based in Woodruff, WI and is specialized in Addiction (Substance Use Disorder). Mark W Grady practices in Woodruff, WI and has the professional credentials of CADCIII. The NPI Number for Mark W Grady is 1154411528 and holds a License No. 14200 (Wisconsin).

The current practice location address for Mark W Grady is 240 Maple Street, Woodruff, WI and can be reached out via phone at 715-356-8000.

Location: 240 Maple Street, Woodruff, WI, 54568-0470
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154411528
Provider Name
Mark W Grady
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
240 Maple Street, Woodruff, WI, 54568-0470
Phone Number
715-356-8000
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39333500 05 WI
institution
Provider Business Practice Location Address Details
Address
240 Maple Street
City
Woodruff
State
Wisconsin
Zip
54568-0470
Phone Number
715-356-8000
Fax Number
person
Provider Business Mailing Address Details
Address
240 Maple Street
City
Woodruff
State
Wisconsin
Zip
54568-0470
Phone Number
715-356-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
14200 (Wisconsin)
Definition
Definition to come...
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