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Individual

MR. JACOB GRUNHUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13210 N 72ND PL, SCOTTSDALE, AZ 85260-3900
(845) 825-3606
Mailing address
13210 N 72ND PL, SCOTTSDALE, AZ 85260-3900
(845) 825-3606

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
09/21/2022
Last updated
09/21/2022
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