Individual
MRS. BLANCHE J GRONOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95 THOMASTON AVE, WATERBURY, CT 06702-1007
(203) 805-5321
Mailing address
88 SLEEPY HILL RD, SOUTHBURY, CT 06488-2690
(203) 405-3428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007579
CT
1041C0700X
Clinical Social Worker
069583
NY
Other
Enumeration date
10/04/2006
Last updated
04/05/2012
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