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Individual

EDLA GRISARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS MFT

Contact information

Practice address
700 S ROYAL POINCIANA BLVD STE 300, MIAMI SPRINGS, FL 33166-6667
(305) 668-9000
Mailing address
3760 BIRD RD UNIT 216, MIAMI, FL 33146-1551
(786) 521-3816

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/05/2017
Last updated
10/05/2017
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