Mark Gronski, LPC Valid NPI
Individual provider · Clinical Social Worker · O Fallon, MO
- NPI
- 1841565363
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 2005000398 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2012-03-16
- Last updated
- 2012-03-16
Practice location
311 S Main St, Suite 100
O Fallon, MO 63366-2807
(636) 281-1990