| Opal Waters Therapy Llc | |
|
361 Falls Rd Ste 688 Grafton WI 53024-2617 | |
| (608) 668-4035 | |
| Not Available |
| Full Name | Opal Waters Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 361 Falls Rd Ste 688, Grafton, Wisconsin |
| Authorized Official Name and Position | Grace Kanzenbach (OWNER) |
| Authorized Official Contact | 6086684035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Waters Therapy Llc 361 Falls Rd Ste 688 Grafton WI 53024-2617 Ph: (608) 668-4035 | Opal Waters Therapy Llc 361 Falls Rd Ste 688 Grafton WI 53024-2617 Ph: (608) 668-4035 |
| NPI Number | 1578382198 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578382198 | NPI | - | NPPES |
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