Provider Demographics
NPI:1326290305
Name:JOHNSTON-GRYSHO, MARGARET ELIZABETH (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:JOHNSTON-GRYSHO
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ELIZABETH
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:9600 VETERANS DR SW BLDG 148
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0003
Mailing Address - Country:US
Mailing Address - Phone:253-583-2825
Mailing Address - Fax:253-589-4035
Practice Address - Street 1:9600 VETERANS DR SW BLDG 148
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493
Practice Address - Country:US
Practice Address - Phone:253-583-2825
Practice Address - Fax:253-589-4035
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607068371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical