Individual
ANGELINA POWELL-GRISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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