Individual
MS. SALLY L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2719 GRAVES DR STE 7, GOLDSBORO, NC 27534-4536
(919) 583-8448
(919) 583-8449
Mailing address
2719 GRAVES DR STE 7, GOLDSBORO, NC 27534-4536
(919) 583-8448
(919) 583-8449
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1390
NC
Other
Enumeration date
02/14/2009
Last updated
02/14/2009
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