Individual
MR. GARY G GRUEBNAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW MASTERS
Contact information
Practice address
207 ROSEDALE AVE, CRYSTAL LAKE, IL 60014-6012
(847) 363-3045
Mailing address
207 ROSEDALE AVE, CRYSTAL LAKE, IL 60014-6012
(847) 363-3045
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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