Individual
MRS. ELIZABETH GRUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05923600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05799900
NJ
Other
Enumeration date
09/30/2013
Last updated
01/28/2019
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