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Individual

MRS. MARCI GRAYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
715 E JOHNSON RD, SOUTH BEND, IN 46614-5315
(317) 721-5897
Mailing address
12125 E 65TH ST, INDIANAPOLIS, IN 46236-4653
(317) 721-5897

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002434A
IN

Other

Enumeration date
09/10/2012
Last updated
01/21/2024
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