Kim Ludmila Grynick

NPI #1306085329 in Ashland, Oregon

Provider Information

NPI Number: 1306085329
Entity Type: Individual
Name: Kim Ludmila Grynick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Feb 14, 2009
Last Updated: Feb 14, 2009

Practice Location

Address: 737 SISKIYOU BLVD
City: Ashland
State: Oregon
ZIP Code: 97520-2141
Phone: (541) 517-4715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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