Individual
VIRGINIA RENEE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 SE 61ST COURT, OCALA, FL 34472
(352) 208-4894
Mailing address
225 SE 61ST COURT, OCALA, FL 34472
(352) 208-4894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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