LAWRENCE DAVID GRISSOM

LONG BEACH, CA
NPI1811703176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  19954)
Enumeration Date2024-12-10
Last Update Date2024-12-10
Business Address
LAWRENCE DAVID GRISSOM
2120 W WILLIAMS ST
LONG BEACH, CA 90810-3636
Phone number: 562-388-8115
Mailing Address
LAWRENCE DAVID GRISSOM
2120 W WILLIAMS ST
LONG BEACH, CA 90810-3636
Phone number: 562-388-8118
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