Jessica Boerner-Grissom, SW IV
NPI #1417225350 in Mariposa, California
Provider Information
- NPI Number
- 1417225350
- Entity Type
- Individual
- Name
- Jessica Boerner-Grissom, SW IV
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- SW IV
- Enumeration Date
- Dec 7, 2011
- Last Updated
- Dec 7, 2011
Practice Location
- Address
- 5362 LEMEE LANE
- City
- Mariposa
- State
- California
- ZIP Code
- 95338-0099
- Phone
- (209) 966-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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