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General NPI Number Information
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NPI Number | 1558679639
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Entity Type | Individual
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Provider Name | LORALIE GRIGAS MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3121 WRIGHTSVILLE AVE
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City | WILMINGTON
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State | NC
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Zip | 28403-4111
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Country | US
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Telephone | 910-617-4675
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Fax | 910-469-0480
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Provider Business Mailing Address
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Address Line | PO BOX 16329
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City | WILMINGTON
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State | NC
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Zip | 28408-6329
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Country | US
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Telephone | 910-617-4675
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Fax | 910-469-0480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C006983
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License Number State | NC
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