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Organization
AUDREY GRUNST LCSW
Active
Organization
AUDREY GRUNST LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY GRUNST LCSW (THERAPIST)
(847) 897-9695
Entity
Organization
Contact information
Practice address
1535 LAKE COOK RD, SUTE 303, NORTHBROOK, IL 60062-1447
(847) 897-9695
Mailing address
1535 LAKE COOK RD, SUTE 303, NORTHBROOK, IL 60062-1447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149015815
IL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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