Individual
MRS. DOLORES B GROHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4322 SOUTHPARK DR, TAMPA, FL 33624-3417
(813) 265-1105
(813) 961-4406
Mailing address
4929 VAN DYKE RD., LUTZ, FL 33558
(813) 924-3491
(813) 961-5919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1891
FL
Other
Enumeration date
01/08/2007
Last updated
09/24/2010
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