Individual
BAIBA P PUKJANIS-GRASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Mailing address
3303 LATROBE DR, CHARLOTTE, NC 28211-4851
(704) 362-2663
(704) 362-2836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004602
NC
Other
Enumeration date
08/09/2006
Last updated
01/17/2017
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