Gayla Kay Grisham, LBSW Valid NPI
Individual provider · Case Manager/Care Coordinator · Waco, TX
- NPI
- 1114058245
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- 33966 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-03-08
- Last updated
- 2007-07-20
Practice location
421 Villa Drive #209
Waco, TX 76710
(254) 405-2702