Individual
MRS. PENNY S. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
245 S PARK DR, SUITE 2, COLCHESTER, VT 05446-5972
(802) 264-5333
(802) 264-5338
Mailing address
245 S PARK DR, SUITE 2, COLCHESTER, VT 05446-5972
(802) 264-5333
(802) 264-5338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0057747
VT
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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