Individual
EILEEN GRUDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
461 MAIN ST, NIANTIC, CT 06357-3103
(860) 710-6465
Mailing address
461 MAIN ST, NIANTIC, CT 06357-3103
(860) 710-6465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008647
CT
Other
Enumeration date
08/20/2013
Last updated
09/12/2019
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