| Doctor Name: | MRS. GENA GRIGSON |
| NPI Number: | 1336350578 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.W. |
| License Number: | I0009755 |
| Business Practice Address: | 2521 Anderson Rd Suite A Crescent Springs, KY - 410171521 |
| Business Phone Number: | 8593449321 |
| Business Fax Number: | 8593440731 |
| Mailing Address: | 2521 Anderson Rd, Suite A CRESCENT SPRINGS |
| State: | KY |
| Postal Code: | 410171521 |
| Phone Number: | 8593449321 |
| Fax Number: | 8593440731 |
| NPI Enumeration Date: | 05/26/2007 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0009755 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |