Individual
KALA MICHELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
800 COLUMBIANA DR STE 116, IRMO, SC 29063-7782
(803) 250-5723
Mailing address
1105 JOSEPH WESLEY RD, COLUMBIA, SC 29209-9484
(336) 251-7344
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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