Individual
MR. IRVING O GRAYSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 N. MAIN ST., FAYETTE, MS 39069
(601) 786-8091
(601) 786-8023
Mailing address
805 N BEECH STREET SUITE 2, TALLULAH, LA 71282
(318) 493-5147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
05/14/2024
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