Individual
DANIEL RAY GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-4709
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-4709
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
03/30/2021
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