| Grazia Therapeutic Services | |
|
110 Mansell Cir Suite 105 Roswell GA 30075-3799 | |
| (470) 214-9918 | |
| Not Available |
| Full Name | Grazia Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Mansell Cir, Roswell, Georgia |
| Authorized Official Name and Position | Marina Renee Rutkowski (DIRECTOR) |
| Authorized Official Contact | 4702149918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grazia Therapeutic Services 110 Mansell Cir Suite 105 Roswell GA 30075-3799 Ph: (470) 214-9918 | Grazia Therapeutic Services 110 Mansell Cir Suite 105 Roswell GA 30075-3799 Ph: (470) 214-9918 |
| NPI Number | 1588919609 |
|---|---|
| Provider Enumeration Date | 07/15/2012 |
| Last Update Date | 07/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588919609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004620 (Georgia) | Primary |
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