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Individual
MRS. CARLA A. GRUNDHAUSER
Active
Individual
MRS. CARLA A. GRUNDHAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-43588
MT
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-85523
MT
Other
Enumeration date
05/13/2010
Last updated
12/18/2025
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