Organization
SOCIAL WORK CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLA K GRISHAM LBSW (EXECUTIVE DIRECTOR)
(254) 405-2702
Entity
Organization
Contact information
Practice address
421 VILLA DR, #209, WACO, TX 76710-7034
(254) 405-2702
(866) 686-9651
Mailing address
421 VILLA DR, #209, WACO, TX 76710-7034
(254) 405-2702
(866) 686-9651
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
33966
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33966
SW LICENSE
TX
Enumeration date
06/22/2007
Last updated
07/19/2007
Update your record
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