Individual
KALLIE GRUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 2ND AVE NE STE 101, VALLEY CITY, ND 58072-3060
(701) 845-8518
Mailing address
415 2ND AVE NE STE 101, VALLEY CITY, ND 58072-3060
(701) 845-8518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/24/2024
Last updated
04/28/2025
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