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Individual

MRS. KATHY L. GRUBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP

Contact information

Practice address
215 S BURLINGTON AVE, HASTINGS, NE 68901-5905
(402) 463-6811
(402) 463-6847
Mailing address
215 S BURLINGTON AVE, HASTINGS, NE 68901-5905
(402) 463-6811
(402) 463-6847

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3230
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025460200
NE
Enumeration date
10/06/2006
Last updated
07/10/2007
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