Individual
MS. KRISTEN JO GRUNTORAD-PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMSW
Contact information
Practice address
5550 WILD ROSE LN STE 400, WEST DES MOINES, IA 50266-5351
(515) 708-1814
Mailing address
5550 WILD ROSE LN, WEST DES MOINES, IA 50266-5350
(515) 708-1814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008153
IA
Other
Enumeration date
04/16/2013
Last updated
05/03/2018
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