Individual
MADIA T GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LADC
Contact information
Practice address
9800 SHELARD PKWY STE 325, PLYMOUTH, MN 55441-6453
(763) 522-0100
(763) 588-0100
Mailing address
2831 S 8TH ST APT 1, MINNEAPOLIS, MN 55454-4501
(612) 261-8138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306009
MN
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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