Individual
MS. MINDY LYNN GROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
10555 MONTGOMERY BLVD NE BLDG 2, ALBUQUERQUE, NM 87111-3857
(505) 503-7946
Mailing address
1801 GOLD AVE SE, ALBUQUERQUE, NM 87106-4029
(505) 254-2285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X06494
NM
Other
Enumeration date
04/13/2009
Last updated
07/08/2021
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