Individual
RUBY GRANDBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
(810) 744-3600
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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