Individual
ALYSE M GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
315 N WYMORE RD, WINTER PARK, FL 32789-2822
(321) 430-4655
(407) 641-9081
Mailing address
315 N WYMORE RD, WINTER PARK, FL 32789-2822
(321) 430-4655
(407) 641-9081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH18377
FL
Other
Enumeration date
06/18/2019
Last updated
11/16/2020
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