Individual
CAROLYN MARY GRISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
10212 5TH AVE NE, SUITE 116, SEATTLE, WA 98125-7452
(206) 633-0908
Mailing address
10212 5TH AVE NE, SUITE 116, SEATTLE, WA 98125-7452
(206) 633-0908
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
268
WA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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