Maddison E Gruenig, MSW
Social Worker, Clinical in Mandeville, LA. Individual provider (NPI-1).
NPI number1669901419
StatusActive
Last updated in NPPESJan 26, 2024
Details
- NPI
- 1669901419
- Entity type
- Individual (NPI-1)
- Name
- Maddison E Gruenig
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2017
- Certification date
- Jan 26, 2024
- Last updated
- Jan 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 16262 | LA | Yes |
Other names
- Maddison Eberhardt (Former Name)
Practice location
255 W Florida St Ste 200Mandeville, LA 70448-3022
Phone 504-267-7324
Mailing address
4300 S I 10 Service Rd W Ste 102Metairie, LA 70001-7400
Phone 504-267-7324 · Fax 504-267-5936
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