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Individual
LINDA GRUNBAUM
Active
Individual
LINDA GRUNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R012702-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2644132631
MEDICARE UNSPECIFIED
NY
Enumeration date
06/22/2006
Last updated
04/09/2008
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