Individual
MS. JUDITH F. GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CCET
Contact information
Practice address
69 STONEYWOOD DR, NIANTIC, CT 06357-1830
(347) 596-4270
Mailing address
69 STONEYWOOD DR, NIANTIC, CT 06357-1830
(347) 596-4270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008015
CT
1041C0700X
Clinical Social Worker
PR067136-1
NY
Other
Enumeration date
03/22/2007
Last updated
09/16/2014
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