Individual
MISS RACHEL KATELYN GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4701 FAIRWAY AVE, NORTH LITTLE ROCK, AR 72116-8066
(501) 771-8261
(501) 771-8263
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
AR
1041C0700X
Clinical Social Worker
Primary
8982-C
AR
Other
Enumeration date
07/26/2018
Last updated
01/06/2022
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