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Individual

JESSE GRUICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
509 JACKSON AVE, OCEAN SPRINGS, MS 39564-4619
(228) 875-6113
(228) 875-9065
Mailing address
PO BOX 1073, OCEAN SPRINGS, MS 39566-1073
(228) 875-6113
(228) 875-9065

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/12/2019
Last updated
06/02/2025
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