Individual
MS. KASEY KNIGHT GRINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 PEACHTREE CT, MOULTRIE, GA 31768-6753
(912) 294-7961
Mailing address
16 PEACHTREE CT, MOULTRIE, GA 31768-6753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007461
GA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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