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1144988700
PETER GRUBE
SEVERNA PARK, MD
NPI
1144988700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 09973)
Enumeration Date
2021-12-01
Last Update Date
2021-12-01
Business Address
PETER GRUBE LCSW-C
819 RICHIE HIGHWAY, SUITE 2005
SEVERNA PARK, MD 21146
Phone number: 410-647-6005
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Mailing Address
PETER GRUBE LCSW-C
819 RITCHIE HWY STE 2005
SEVERNA PARK, MD 21146-4162
Phone number: 410-647-6005
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