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Individual

AIDA GRUDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1627 K ST NW STE 500, WASHINGTON, DC 20006-1708
(202) 570-7795
Mailing address
3131 CONNECTICUT AVE NW, WASHINGTON, DC 20008-5000

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC00668
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LGPC00668
DC BOARD OF COUNSELING
DC
Enumeration date
07/13/2020
Last updated
07/13/2020
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