Doctor Name: | MS. CAROLE AUGUST GRIGG |
NPI Number: | 1548307879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LW00006268 |
Business Practice Address: | 138 South First Street Suite 4 Montesano, WA - 985633623 |
Business Phone Number: | 3602495266 |
Business Fax Number: | 3602495266 |
Mailing Address: | 138 South First Street, Suite 4 MONTESANO |
State: | WA |
Postal Code: | 985633623 |
Phone Number: | 3602495266 |
Fax Number: | 3602495266 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW00006268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |