Provider Information for 1669801114
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KRYSTLYNN GRUNDTNER MSW, LICSW
Other Names:Former Name:KRYSTLYNN ANNE CUMISKEYSex: Female
Certification Date: 2024-08-12
Details
| Name | Value | ||||||||||||
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| NPI | 1669801114 | ||||||||||||
| Enumeration Date | 2013-11-05 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 8400 E YALE AVE APT 2-308 DENVER, CO 80231-3853 United States Phone: 651-271-0032 | Fax:651-379-1738 | ||||||||||||
| Primary Practice Address | 8400 E YALE AVE APT 2-308 DENVER, CO 80231-3853 United States Phone: 651-271-0032 | Fax:651-379-1738 | ||||||||||||
| Secondary Practice Address(es) | 7300 147TH ST W 1930 COON RAPIDS BLVD NW 2120 PARK AVE 2060 CENTRE POINTE BLVD STE 3 | ||||||||||||
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