LARRY J GRUBBS

MADISON, MS
NPI1578873915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  4971)
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
-- LARRY J GRUBBS LCSW
254 INGLESIDE DRIVE
MADISON, MS 39110
Phone number: 601-695-1919
Mailing Address
-- LARRY J GRUBBS LCSW
PO BOX 1995
MADISON, MS 39130-1995
Phone number: 601-695-1919