MISS Layne Nicole Grissom

NPI #1477033819 in Paducah, Kentucky

Provider Information

NPI Number: 1477033819
Entity Type: Individual
Name: MISS Layne Nicole Grissom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 15, 2018
Last Updated: Aug 15, 2018

Practice Location

Address: 425 BROADWAY ST
City: Paducah
State: Kentucky
ZIP Code: 42001-0713
Phone: (270) 444-3604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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