Individual
REBECCA MARIE GRUDOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(480) 490-9546
Mailing address
2041 S LONGMORE, MESA, AZ 85202-6566
(480) 274-4600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17011
AZ
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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