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1235255019
MILTON GRISHAM
WOODSTOCK, GA
NPI
1235255019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 1336)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- MILTON GRISHAM phd
8910 MAIN ST
WOODSTOCK, GA 30188-4916
Phone number: 770-924-1818
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Mailing Address
-- MILTON GRISHAM phd
3642 CHILDERS WAY NE
ROSWELL, GA 30075-5275
Phone number:
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