Individual
MS. CAROLE AUGUST GRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
138 SOUTH FIRST STREET, SUITE 4, MONTESANO, WA 98563-3623
(360) 249-5266
(360) 249-5266
Mailing address
138 SOUTH FIRST STREET, SUITE 4, MONTESANO, WA 98563-3623
(360) 249-5266
(360) 249-5266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228140228139
PREMERA BLUE CROSS
WA
01
—
8910383
DEPT OF LABOR & INDUSTRIE
WA
01
—
93422281400003
PREMERA BLUE CROSS NATION
WA
01
—
PIN0007434031
AETNA
—
01
—
QMXPR0055747
MOLINAHEALTH CARE
WA
Enumeration date
01/30/2007
Last updated
07/08/2007
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