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General NPI Number Information
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NPI Number | 1578028676
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Entity Type | Individual
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Provider Name | SHARI S GRIZZLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 2030 BEAVER RUIN RD STE C
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City | NORCROSS
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State | GA
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Zip | 30071-3710
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Country | US
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Telephone | 770-415-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 BEAVER RUIN RD STE C
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City | NORCROSS
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State | GA
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Zip | 30071-3710
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Country | US
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Telephone | 770-899-9383
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Fax |
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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 | SW17677
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34007928A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW006250
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License Number State | GA
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