Candice Rae Gronberg

NPI #1356632087 in Lander, Wyoming

Provider Information

NPI Number: 1356632087
Entity Type: Individual
Name: Candice Rae Gronberg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date: Apr 28, 2011
Last Updated: Apr 28, 2011

Practice Location

Address: 4 ROBERTS ROAD
City: Lander
State: Wyoming
ZIP Code: 82520-1401
Phone: (307) 332-9122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X	Primary

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