Individual
MELANIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 HERRIFORD CURVE ROAD, HWY 127, JAMESTOWN, KY 42629-2520
(270) 343-2551
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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