Individual
KATELIN RUBY GRINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
(402) 932-8885
Mailing address
11071M W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
(402) 932-8885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13465
NE
Other
Enumeration date
07/28/2023
Last updated
07/31/2023
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