Jason Griswold, LICSW
NPI #1265968739 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1265968739
- Entity Type
- Individual
- Name
- Jason Griswold, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 3, 2017
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 6936 PINE ARBOR DR S STE 200
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-4672
- Phone
- (651) 461-2903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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