Individual
ALICIA GRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-0880
Mailing address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-0880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18514
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013356088
—
MN
Enumeration date
06/22/2013
Last updated
06/11/2019
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