Individual
KERI ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2950 HALCYON LN STE 605, JACKSONVILLE, FL 32223-6692
(904) 302-5340
Mailing address
9803 CREEKFRONT RD APT 1205, JACKSONVILLE, FL 32256-8461
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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