Individual
AUDREY LYNN GRUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
900 NORTH SHORE DR STE 279, LAKE BLUFF, IL 60044-2210
(414) 688-3516
Mailing address
900 NORTH SHORE DR STE 279, LAKE BLUFF, IL 60044-2210
(414) 688-3516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015815
IL
Other
Enumeration date
04/03/2013
Last updated
07/21/2022
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