Individual
LAMICA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 GREYSTONE DR, GUYTON, GA 31312-5548
(912) 358-7448
Mailing address
137 GREYSTONE DR, GUYTON, GA 31312-5548
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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