Laura Ann Gronholm, LCSW

NPI #1942830138 in Seaside, Oregon

Provider Information

NPI Number: 1942830138
Entity Type: Individual
Name: Laura Ann Gronholm, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 16, 2020
Last Updated: Jan 16, 2020

Practice Location

Address: 1150 N ROOSEVELT DR APT 104
City: Seaside
State: Oregon
ZIP Code: 97138-7053
Phone: (503) 717-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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