Individual
MS. GRUNDI R ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
5932 BELMONT AVE, CINCINNATI, OH 45224-2378
(513) 961-4663
Mailing address
5932 BELMONT AVE, CINCINNATI, OH 45224-2378
(513) 961-4663
(513) 961-4681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.141166
OH
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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