Individual
MRS. ERINN DAWN GRASSOW GRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 791-4976
Mailing address
172 DEAN ST, UNIT 3, TAUNTON, MA 02780-2783
(774) 265-5555
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
330215
MA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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