Individual
AUTUMN RENEE' GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 ARMOUR AVE, FORT SMITH, AR 72904-4317
(479) 785-4083
(479) 783-1914
Mailing address
3900 ARMOUR AVE, FORT SMITH, AR 72904-4317
(479) 785-4083
(479) 783-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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