Organization
GRAZIA THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA RENEE RUTKOWSKI LCSW (DIRECTOR)
(470) 214-9918
Entity
Organization
Contact information
Practice address
110 MANSELL CIR, SUITE 105, ROSWELL, GA 30075-3799
(470) 214-9918
Mailing address
110 MANSELL CIR, SUITE 105, ROSWELL, GA 30075-3799
(470) 214-9918
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004620
GA
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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