Individual
ANITA CHRISTINE GRUTBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 90670-3681
(626) 254-5000
Mailing address
1930 HEATHER CIR, BREA, CA 92821-6029
(714) 345-8630
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
33245
CA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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