Individual
DR. ANOUK L GRUBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 792-2522
Mailing address
PO BOX 250861, CHARLESTON, SC 29425-0861
(843) 792-2522
(843) 792-6889
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
973
SC
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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