Individual
JAIME GRUNDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
Mailing address
699 FARMHOUSE LN, BOZEMAN, MT 59715-9402
(406) 556-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11616
MT
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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