Individual
ELISE GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2000
Mailing address
2680 107TH AVE NW, COON RAPIDS, MN 55433-4003
(763) 501-8936
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33026
MN
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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