Individual
MS. ALICE MARIE GRUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MS SCHOOL PSYCH
Contact information
Practice address
186 SOUTHSIDE RD, YORK, ME 03909-5145
(207) 890-5692
Mailing address
186 SOUTHSIDE RD, YORK, ME 03909-5145
(207) 890-5692
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
PE673
ME
1041C0700X
Clinical Social Worker
LC632
ME
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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