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Individual

KAYLA GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
107 3RD AVE NE, PIERZ, MN 56364-4017
(320) 616-1360
Mailing address
107 3RD AVE NE, PIERZ, MN 56364-4017
(320) 616-1360

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00760
MN

Other

Enumeration date
04/04/2014
Last updated
03/01/2022
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