Candice Rae Gronberg
Candice Rae Gronberg is a Child Intellectual and/or Developmental Disabilities Respite Care in Lander, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.
- Licensed in
- WY
- In the registry since
- 2011
Practice location Address checks out
4 Roberts RdLander, WY 82520-1401
Phone: (307) 332-9122
Fax: (307) 332-9122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X · Licence 114858300 (WY) |
|---|
Record details
| NPI number | 1356632087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 28, 2011 |
| Last updated in NPPES | April 28, 2011 |