Organization
GRIEF UNIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. PRUET GCC (THANATOLOGIST)
(812) 337-4000
Entity
Organization
Contact information
Practice address
1111 N WALNUT ST, BLOOMINGTON, IN 47404-3563
(812) 337-4000
Mailing address
1111 N WALNUT ST, BLOOMINGTON, IN 47404-3563
(812) 337-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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