Individual
MISS ABIGAIL GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1690 STONE VILLAGE LN NW STE 622, KENNESAW, GA 30152-7777
(678) 588-2016
Mailing address
897 E MADDOX RD, GRIFFIN, GA 30224-7424
(678) 588-2016
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW009102
GA
1041C0700X
Clinical Social Worker
Primary
CSW008601
GA
Other
Enumeration date
05/15/2022
Last updated
05/23/2023
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