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Individual
CHRISTIANA DORIAN GROTLISCH
Active
Individual
CHRISTIANA DORIAN GROTLISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
98118
CA
1041C0700X
Clinical Social Worker
Primary
115305
CA
Other
Enumeration date
11/07/2017
Last updated
05/30/2023
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