Individual
MRS. JENNIFER LAUREN GRINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
807 N TYLER ST, DALLAS, TX 75208-3964
(128) 138-2315
Mailing address
807 N TYLER ST, DALLAS, TX 75208-3964
(128) 138-2315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39902
TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS
TX
Enumeration date
07/02/2022
Last updated
07/02/2022
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