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Individual

KRYSTAL LEXUS GRUDINSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSC-AD

Contact information

Practice address
8600 LASALLE ROAD, 212, TOWSON, MD 21286
(410) 773-0500
Mailing address
8600 LASALLE RD, #212, TOWSON, MD 21286

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC3084
MD

Other

Enumeration date
05/19/2022
Last updated
05/19/2022
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