Individual
LUKECIA T. GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 977-6866
(770) 783-8639
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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