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Individual

JASON L GRINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
2914 N OAK ST, VALDOSTA, GA 31602-1718
(229) 333-0300
(229) 333-0306
Mailing address
2914 N OAK ST, VALDOSTA, GA 31602-1718
(229) 333-0300
(229) 333-0306

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004162
GA

Other

Enumeration date
02/10/2015
Last updated
10/09/2020
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