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1215917117
JACKIE M. GRISSOM
MATTHEWS, NC
NPI
1215917117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 2798)
Enumeration Date
2006-01-18
Last Update Date
2010-07-06
Business Address
Ms. JACKIE M. GRISSOM M.A., L.P.C.
1238 MANN DR MATTHEWS FAMILY COUNSELING
MATTHEWS, NC 28105-1061
Phone number: 704-771-1714
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Mailing Address
Ms. JACKIE M. GRISSOM M.A., L.P.C.
1238 MANN DR MATTHEWS FAMILY COUNSELING
MATTHEWS, NC 28105-1061
Phone number: 704-771-1714
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