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Individual

MRS. LINDSAY A. GRISSOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4301 W MARKHAM ST, UAMS #825, LITTLE ROCK, AR 72205-7101
(501) 686-5300
Mailing address
4301 W MARKHAM ST, UAMS #783, LITTLE ROCK, AR 72205-7101
(501) 614-2182

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1952-M
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159635526
AR
Enumeration date
10/21/2008
Last updated
10/21/2008
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