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Individual

MS. JAYNE T GRISSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
14679 MIDWAY RD, SUITE 200, ADDISON, TX 75001-3168
(972) 234-6634
(972) 234-6648
Mailing address
14679 MIDWAY RD, SUITE 200, ADDISON, TX 75001-3168
(972) 234-6634
(972) 234-6648

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62619
TX

Other

Enumeration date
12/29/2007
Last updated
02/14/2012
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