Individual
CAILLA GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HOWARD LN, FAYETTEVILLE, GA 30215-1848
(706) 616-7172
Mailing address
145 HOWARD LN, FAYETTEVILLE, GA 30215-1848
(706) 616-7172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008199
GA
Other
Enumeration date
10/17/2021
Last updated
06/19/2024
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