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1942844451
THOMAS GEORGE GRUBBA
OAK PARK, MI
NPI
1942844451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 4101007278)
Enumeration Date
2019-10-29
Last Update Date
2024-04-16
Business Address
THOMAS GEORGE GRUBBA
24281 CLOVERLAWN ST
OAK PARK, MI 48237-1501
Phone number: 510-410-3519
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Mailing Address
THOMAS GEORGE GRUBBA
24281 CLOVERLAWN ST
OAK PARK, MI 48237-1501
Phone number: 510-410-3519
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