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Individual
MR. WAYNE ALAN GROSNICK
Active
Individual
MR. WAYNE ALAN GROSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
25033
FL
101Y00000X
Counselor
2848
WA
101Y00000X
Counselor
R831
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1201
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
12225
FL
101YM0800X
Mental Health Counselor
50357
FL
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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