Individual
RITA GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5000 RESEARCH CT, SUITE 725, SUWANEE, GA 30024-6609
(678) 557-4144
(770) 840-0162
Mailing address
630 WINTERGATE CT, ALPHARETTA, GA 30022-5584
(770) 417-1004
(770) 840-0162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW029575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968734A
—
GA
Enumeration date
07/21/2006
Last updated
05/26/2008
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