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General NPI Number Information
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NPI Number | 1437095361
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Entity Type | Organization
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Legal Business Name | ALYSSA GRIMSLED
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 206 WEST AVE S
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City | WESTBY
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State | WI
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Zip | 54667-1227
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Country | US
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Telephone | 414-208-5566
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Fax |
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Provider Business Mailing Address
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Address Line | N169 OLD HIGHWAY 35
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City | STODDARD
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State | WI
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Zip | 54658-9717
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ALYSSA GRIMSLED
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Credential | LCSW
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Telephone | 414-208-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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