TISA GRUMM

FREMONT, CA
NPI1215007901
Former NameTISA JEROME
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  20283)
Enumeration Date2006-11-09
Last Update Date2011-07-11
Business Address
-- TISA GRUMM LCSW
40950 CHAPEL WAY
FREMONT, CA 94538-4236
Phone number: 510-432-7516
Mailing Address
-- TISA GRUMM LCSW
40950 CHAPEL WAY
FREMONT, CA 94538-4236
Phone number: 510-432-7516
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