Jennifer Jackson Grismer L.C.S.W.

NPI 1316190986 - Social Worker - 1041C0700X

NPI Details
NPI 1316190986
Gender Female
Enumeration Date 10/28/2008
Last Updated 10/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12 BERWICK AVE
WALDEN NY, 12586-1646, US
Phone (845) 778-8502
Fax
Business Location
12 BERWICK AVE
WALDEN NY, 12586-1646, US
Phone (845) 778-8502
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801062059
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According to our database, Mrs. Jennifer Jackson Grismer L.C.S.W. NPI is 1316190986, taxonomy code is 1041C0700X and license number is 6801062059, license state is located at Michigan. Jennifer Jackson Grismer L.C.S.W. physically located at 12 Berwick Ave, Walden NY, 12586-1646. NPI Number Jennifer Jackson Grismer L.C.S.W. has the Individual type.

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1316190986 NPI number is provided on an as is basis without warranty of any kind. 1316190986 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Jackson Grismer L.C.S.W. are for informational purposes only.