Individual
CLAIRE GRUBICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4708
(763) 427-7964
(763) 427-7976
Mailing address
501 HIGHWAY 13 E STE 108, BURNSVILLE, MN 55337-2877
(952) 564-3000
(952) 564-3031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00230
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629198890
METROPOLITAN HEALTH PLAN
MN
05
—
1629198890
—
MN
01
—
800002179
MEDICARE
MN
01
—
9322
TRICARE
MN
Enumeration date
03/30/2007
Last updated
04/07/2009
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