Individual
KAITLYNN DIANNE GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
371 HOES LN, PISCATAWAY, NJ 08854-4143
(844) 252-0863
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(732) 320-6006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00893800
NJ
Other
Enumeration date
09/02/2025
Last updated
09/05/2025
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