Individual
MISCHA MARIE GRISSOMDARRISAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1527 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1035
(954) 835-5741
Mailing address
8954 W 35TH WAY, HIALEAH, FL 33018-1893
(786) 720-9625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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