Individual
MRS. LAURA G GROTENHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
928 12TH ST, GREELEY, CO 80631-4024
(970) 336-4923
Mailing address
928 12TH ST, GREELEY, CO 80631-4024
(970) 336-4923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3309
CO
Other
Enumeration date
10/27/2005
Last updated
04/26/2011
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