Individual
MS. JUDITH ANN PISARRO-GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3447 ROBINHOOD RD STE 312, WINSTON SALEM, NC 27106-4791
(336) 530-2500
Mailing address
3447 ROBINHOOD RD STE 312, WINSTON SALEM, NC 27106-4791
(818) 884-7784
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2066
NC
106H00000X
Marriage & Family Therapist
MFC 19088
CA
Other
Enumeration date
01/09/2015
Last updated
09/12/2019
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