Individual
MR. JERRY LYNN GRUGIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
324 HIGHLAND PARK DR, RICHMOND, KY 40475-3487
(859) 254-1035
(859) 254-2075
Mailing address
2250 THUNDERSTICK DR, LEXINGTON, KY 40505-9010
(859) 254-1035
(859) 254-2075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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