Larry J Grubbs, LCSW
NPI #1578873915 in Madison, Mississippi
Provider Information
- NPI Number
- 1578873915
- Entity Type
- Individual
- Name
- Larry J Grubbs, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 19, 2010
- Last Updated
- Oct 19, 2010
Practice Location
- Address
- 254 INGLESIDE DRIVE
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 695-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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