Individual
MS. GRISELL MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS , CASAT
Contact information
Practice address
817 E MAIN ST, ROCHESTER, NY 14605-2722
(585) 256-8900
Mailing address
2343 LONG POND RD, ROCHESTER, NY 14606-5144
(585) 880-1822
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NY
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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