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Individual
KAYLA ANN VAN GROUW
Active
Individual
KAYLA ANN VAN GROUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103560
CA
1041C0700X
Clinical Social Worker
Primary
103560
CA
171M00000X
Case Manager/Care Coordinator
103560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103560
BBS
CA
Enumeration date
08/27/2021
Last updated
05/22/2026
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