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Individual

DENISE GRAYBEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LMT

Contact information

Practice address
1102 WAYBRIDGE WAY, RICHMOND HILL, GA 31324-7856
(301) 706-2496
Mailing address
10801 HICKORY RIDGE RD STE 220, COLUMBIA, MD 21044-3871
(301) 706-2496

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29122
MD
225700000X
Massage Therapist
M04281
MD
225700000X
Massage Therapist
MT014041
GA

Other

Enumeration date
01/30/2018
Last updated
09/14/2022
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