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Audrey Gruen

Social Worker in Riverside, CA. Individual provider (NPI-1).

NPI number1164067567
StatusActive
Last updated in NPPESNov 10, 2019

Details

NPI
1164067567
Entity type
Individual (NPI-1)
Name
Audrey Gruen
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 10, 2019
Last updated
Nov 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker13328CAYes

Practice location

Canyon Crest Mental Health
5225 Canyon Crest Drive #100
Riverside, CA 92507

Phone 951-248-4000

Mailing address

727 Euclid St
Santa Monica, CA 90402-2925

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