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Organization

SOCIAL WORK CONNECTION

Active
Parent organization
SOCIAL WORK CONNECTION
Other names
Gayla Kay Grisham, LBSW-IPR
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOCIAL WORK CONNECTION
Authorized official
MRS. GAYLA KAY GRISHAM LBSW-IPR (SOCIAL WORKER/OWNER)
(254) 405-2702
Entity
Organization

Contact information

Practice address
680 APPLE CROSS COURT, ROBINSON, TX 76706
(254) 405-2702
(866) 405-5256
Mailing address
680 APPLE CROSS COURT, ROBINSON, TX 76706
(254) 405-2702
(866) 405-5256

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
33966
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182404701
TX
05
182405401
TX
05
182406401
TX
01
33966
LICENSED BOARD SOCIAL WOR
TX
Enumeration date
05/23/2007
Last updated
06/03/2016
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