MR. Irving O Grayson JR.
NPI #1568089274 in Fayette, Mississippi
Provider Information
- NPI Number
- 1568089274
- Entity Type
- Individual
- Name
- MR. Irving O Grayson JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 29, 2020
- Last Updated
- May 14, 2024
Practice Location
- Address
- 1555 N. MAIN ST.
- City
- Fayette
- State
- Mississippi
- ZIP Code
- 39069
- Phone
- (601) 786-8091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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