Mary Grussendorf
NPI #1619345477 in Evansville, Wyoming
Provider Information
- NPI Number
- 1619345477
- Entity Type
- Individual
- Name
- Mary Grussendorf
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Sep 10, 2015
- Last Updated
- Sep 10, 2015
Practice Location
- Address
- 721 RESHAW CIR
- City
- Evansville
- State
- Wyoming
- ZIP Code
- 82636-9410
- Phone
- (307) 277-5401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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