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Individual

JESSICA KIM GRUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
11 HANOVER SQ FL 27, NEW YORK, NY 10005-2835
(718) 568-6974
Mailing address
64 7TH AVE APT 1D, BROOKLYN, NY 11217-3634
(612) 327-8372

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001521-1
NY

Other

Enumeration date
03/04/2020
Last updated
03/04/2020
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