Individual
MR. DARRELL GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
58 S PARK SQ NE, SUITE Q, MARIETTA, GA 30060-1998
(678) 642-3213
Mailing address
58 S PARK SQ NE, SUITE Q, MARIETTA, GA 30060-1998
(678) 642-3213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003532
GA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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