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Organization
GREY GROUP LLC
Active
Organization
GREY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PAUL CHASTEEN LISW-CP, LCSW, MAC (OWNER)
(843) 817-9008
Entity
Organization
Contact information
Practice address
958 E MAIN ST, SUITE B, SPARTANBURG, SC 29302-2148
(864) 231-6632
Mailing address
704 KINGSMOOR DR, SIMPSONVILLE, SC 29681-3502
(843) 817-9008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6926
SC
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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