Individual
MS. STEPHANIE D GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3540 WHEELER RD, SUITE 619, AUGUSTA, GA 30909-1871
(706) 733-0333
(706) 733-0313
Mailing address
3540 WHEELER RD, SUITE 619, AUGUSTA, GA 30909-1871
(706) 733-0333
(706) 733-0313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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