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Individual
TAYLOR GRANTHAM
Active
Individual
TAYLOR GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6451018854
MI
101YP2500X
Professional Counselor
Primary
6401224450
MI
247200000X
Other Technician
—
—
Other
Enumeration date
12/07/2016
Last updated
09/10/2026
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