Individual
DOMONIQUE GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 W 41ST DR, LOS ANGELES, CA 90062-1517
(323) 348-4615
Mailing address
1811 W 41ST DR, LOS ANGELES, CA 90062-1517
(323) 348-4615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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