Individual
KENNETH GRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFBPCA
Contact information
Practice address
17830 STATESVILLE RD STE 235, CORNELIUS, NC 28031-8193
(704) 620-7437
Mailing address
309 NEILL RIDGE RD, MATTHEWS, NC 28105-2031
(980) 210-5800
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
115
NC
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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