Larry Grubb, LCSW Valid NPI
Individual provider · Clinical Social Worker · Gurnee, IL
- NPI
- 1760511596
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Practice location
4212 Old Grand Ave, Suite 102
Gurnee, IL 60031-2708
(847) 336-5621