Individual
PAMELA RENAE GRUHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
43491 N COYOTE RD, SAN TAN VALLEY, AZ 85140-8924
(701) 741-2502
Mailing address
5335 S VEGAS, MESA, AZ 85212-8334
(701) 741-2502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15908
AZ
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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