Individual
ELLEN S GRUDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
476 AMESBURY DR, GAHANNA, OH 43230-2370
(614) 653-1665
Mailing address
476 AMESBURY DR, GAHANNA, OH 43230-2370
(614) 653-1665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901820-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
03/14/2017
Last updated
02/17/2025
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