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1760511596
LARRY GRUBB
GURNEE, IL
NPI
1760511596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-005363)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
-- LARRY GRUBB LCSW
4212 OLD GRAND AVE SUITE 102
GURNEE, IL 60031-2708
Phone number: 847-336-5621
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Mailing Address
-- LARRY GRUBB LCSW
4212 OLD GRAND AVE SUITE 102
GURNEE, IL 60031-2708
Phone number: 847-336-5621
Copy
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