Individual
MRS. FANSHAWE GRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8611 NW 48TH ST, LAUDERHILL, FL 33351-5444
(954) 651-4591
Mailing address
8611 NW 48TH ST, LAUDERHILL, FL 33351-5444
(954) 651-4591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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