Individual
DAVID GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3015 VETERANS PKWY S, MOULTRIE, GA 31788-6705
(229) 798-2105
(229) 798-2105
Mailing address
1015 WEST BLVD, MOULTRIE, GA 31768-4232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004528
GA
Other
Enumeration date
02/01/2018
Last updated
03/30/2020
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