Brooke K Grunden

NPI #1710493713 in Defiance, Ohio

Provider Information

NPI Number: 1710493713
Entity Type: Individual
Name: Brooke K Grunden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 28, 2017
Last Updated: Dec 28, 2017

Practice Location

Address: 511 PERRY ST
City: Defiance
State: Ohio
ZIP Code: 43512-2123
Phone: (419) 782-9920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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