Individual
ALIYAH SHEA GRINAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 W WENDOVER AVE STE A, GREENSBORO, NC 27407-1525
(336) 294-1349
Mailing address
5602 WATERPOINT DR, BROWNS SUMMIT, NC 27214-9058
(336) 392-4608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P015199
NC
1041C0700X
Clinical Social Worker
Primary
P015199
NC
Other
Enumeration date
10/08/2020
Last updated
05/22/2023
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