Individual
CALLIE WATSON GRONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
545 1ST AVE, GBH-C10, NEW YORK, NY 10016-6401
(212) 263-5018
Mailing address
545 1ST AVE, GBH-C10, NEW YORK, NY 10016-6401
(212) 263-5018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087011
NY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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