Individual
EMMETT LEE GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 N JEFFERSON ST NE, MILLEDGEVILLE, GA 31061-2919
(478) 445-4721
(478) 445-6769
Mailing address
P O BOX 1827, MILLEDGEVILLE, GA 31059-1827
(478) 445-4721
(478) 445-6769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000762
GA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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