Individual
MISS SHALOAM GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
2222 PONCE DE LEON BLVD FL 3, CORAL GABLES, FL 33134-5039
(866) 305-7365
Mailing address
2222 PONCE DE LEON BLVD FL 3, CORAL GABLES, FL 33134-5039
(866) 305-7365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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