Gremillion, Monica L

Gremillion, Monica L is an individual health care provider with primary practice located at 9000 W Wisconsin Ave # Ms 958 , Milwaukee WI 53226-4874. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gremillion, Monica L can be contacted via phone (414) 266-3133.

Contact Information

Primary practice address
9000 W Wisconsin Ave # Ms 958 Milwaukee WI 53226-4874
Phone: (414) 266-3133
Fax: (414) 266-1761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3496-57 Wisconsin

Profile Details

NPI number 1376068379
LBN Legal business name Gremillion, Monica L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2017
Last updated Jan 25th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376068379 NPPES
Wisconsin MEDICAID 1376068379

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