Individual
MRS. BRENDA GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 568-6650
Mailing address
2221 PHILIP ST, NEW ORLEANS, LA 70113-2525
(504) 568-6650
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5862
LA STATE BOARD OF SOCIAL WORK EXAMINERS
LA
Enumeration date
08/13/2008
Last updated
08/13/2008
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