Individual
CIA GRONNEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 BURREL AVE SE, BOX 567, COOPERSTOWN, ND 58425-0567
(701) 797-2127
(701) 797-2172
Mailing address
BOX 567, 912 BURREL AVE SE, COOPERSTOWN, ND 58425-0567
(701) 797-2127
(701) 797-2172
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3023
ND
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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