Individual
KIMBERLY GRUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
800 MACDADE BLVD, COLLINGDALE, PA 19023-3826
(610) 938-9380
Mailing address
800 MACDADE BLVD, COLLINGDALE, PA 19023-3826
(610) 938-9380
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW122997
PA
Other
Enumeration date
12/07/2006
Last updated
06/14/2010
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