Individual
MS. CONNIE R. GRUBESICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4241 N GABEL DR STE 3H, FAYETTEVILLE, AR 72703-5297
(479) 236-5020
Mailing address
PO BOX 61, FAYETTEVILLE, AR 72702-0061
(479) 236-5020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C- 577
AR
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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