Organization
JASON L GRINER LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON LA RON GRINER LCSW (CEO)
(229) 251-0264
Entity
Organization
Contact information
Practice address
2914 N OAK ST, VALDOSTA, GA 31602-1718
(229) 333-0300
(229) 333-0306
Mailing address
1267 ROUNTREE BRIDGE RD., SPARKS, GA 31647-6423
(229) 251-0264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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