MS. Gayla Kay Grisham, LBSW

NPI #1114058245 in Waco, Texas

Provider Information

NPI Number: 1114058245
Entity Type: Individual
Name: MS. Gayla Kay Grisham, LBSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Credential: LBSW
Enumeration Date: Mar 8, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 421 VILLA DRIVE #209
City: Waco
State: Texas
ZIP Code: 76710
Phone: (254) 405-2702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Case Manager/Care Coordinator	171M00000X	Primary
Case Management	251B00000X

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