Individual
MR. LARRY L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
141 GRISHAM RD, ROYAL, AR 71968-9563
(501) 282-2750
Mailing address
141 GRISHAM RD, ROYAL, AR 71968-9563
(501) 282-2750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0607039
AR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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