Individual
JAI GRUENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4205 W SIOUX ST, LAVEEN, AZ 85339-8227
(480) 227-6147
Mailing address
4205 W SIOUX ST, LAVEEN, AZ 85339-8227
(480) 227-6147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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