Individual
JEREMY GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 E SWANSON AVE STE 25B, WASILLA, AK 99654-7056
(907) 376-1922
(907) 376-1925
Mailing address
231 E SWANSON AVE STE 25B, WASILLA, AK 99654-7056
(907) 376-1922
(907) 376-1925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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