Individual
CHRISTINE A GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMSW, LCSWA
Contact information
Practice address
1880 N BROAD ST, FUQUAY VARINA, NC 27526-3657
(919) 557-8222
Mailing address
1904 KYLEMAYNE CT, FUQUAY VARINA, NC 27526-5586
(973) 919-8935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021881
NC
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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