Individual
DONETTE R GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
5917 GLENOAK AVE, BALTIMORE, MD 21214-2010
(443) 653-5362
Mailing address
5917 GLENOAK AVE, BALTIMORE, MD 21214-2010
(443) 653-5362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09211
MD
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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