Kelly Grundstrom
Kelly Grundstrom is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
210 N 4th StSan Jose, CA 95112-5569
Phone: (669) 288-9356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence ASW122179 (CA) |
|---|
Record details
| NPI number | 1902438211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | June 9, 2026 |
| Certification date | June 9, 2026 |
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