Individual
BREANNA MAE GRONLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 894-1207
Mailing address
2120 60TH AVE NE, WILLMAR, MN 56201-9140
(320) 894-1207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30875
MN
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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