Organization
GRIGGS COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIA GRONNEBERG LSW (LSW/DIRECTOR)
(701) 797-2127
Entity
Organization
Contact information
Practice address
912 BURREL AVE SE, COOPERSTOWN, ND 58425-0567
(701) 797-2127
(701) 797-2172
Mailing address
PO BOX 567, 912 BURREL AVE SE, COOPERSTOWN, ND 58425-0567
(701) 797-2127
(701) 797-2172
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
3023
ND
251K00000X
Public Health or Welfare Agency
3023
ND
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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