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Thomas George Grubba JR.
Mental Health Counselor in Waterford, Michigan
NPI 1942844451

Thomas George Grubba JR. is a Mental Health Counselor based in Oak Park, MI and is specialized in Mental Health. Thomas George Grubba JR. practices in Waterford, MI. The NPI Number for Thomas George Grubba JR. is 1942844451 and holds a License No. (Michigan).

The current practice location address for Thomas George Grubba JR. is 3650 Dixie Hwy, Waterford, MI and can be reached out via phone at 248-909-1869.

Location: 3650 Dixie Hwy, Waterford, MI, 48237-1501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942844451
Provider Name
Thomas George Grubba JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3650 Dixie Hwy, Waterford, MI, 48237-1501
Phone Number
248-909-1869
Fax Number
Provider Enumeration Date
10/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3650 Dixie Hwy
City
Waterford
State
Michigan
Zip
48329-4209
Phone Number
248-909-1869
Fax Number
person
Provider Business Mailing Address Details
Address
3650 Dixie Hwy
City
Waterford
State
Michigan
Zip
48329-4209
Phone Number
248-909-1869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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