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1578873915
LARRY J GRUBBS
MADISON, MS
NPI
1578873915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: LA 4971)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
LARRY J GRUBBS LCSW
254 INGLESIDE DRIVE
MADISON, MS 39110
Phone number: 601-695-1919
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Mailing Address
LARRY J GRUBBS LCSW
PO BOX 1995
MADISON, MS 39130-1995
Phone number: 601-695-1919
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