Individual
MRS. ANA RAQUEL GRULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
670 AVENUE C, BAYONNE, NJ 07002-2803
(201) 485-6352
Mailing address
670 AVENUE C, BAYONNE, NJ 07002-2803
(201) 485-6352
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105635
TX
1041C0700X
Clinical Social Worker
Primary
44SC05827300
NJ
Other
Enumeration date
04/25/2016
Last updated
06/16/2023
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