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Individual

MISS HEATHER LYNNE GRUDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6765 GREEN VALLEY RD, PLACERVILLE, CA 95667-8984
(530) 622-5551
(530) 622-5800
Mailing address
6765 GREEN VALLEY RD, PLACERVILLE, CA 95667-8984
(530) 622-5551
(530) 622-5800

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/25/2011
Last updated
08/25/2011
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