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Individual

KATHLEEN GRIZKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC, CCS

Contact information

Practice address
12 PENNSYLVANIA AVE, DOROTHY, NJ 08317-9734
(609) 364-1255
Mailing address
12 PENNSYLVANIA AVE, DOROTHY, NJ 08317-9734

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00293200
NJ

Other

Enumeration date
10/21/2022
Last updated
10/21/2022
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