Individual
MRS. RUTH THERESA GRENOSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
214 LAKE ST, CHILD DEVELOPMENT CENTER, SHREWSBURY, MA 01545-3960
(508) 856-4202
Mailing address
1568 WACHUSETT ST, JEFFERSON, MA 01522-1320
(508) 829-2946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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