Individual
LATASHA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 W SCHOOL ST, RIDGELAND, MS 39157-2707
(601) 977-0257
Mailing address
PO BOX 830, CLINTON, MS 39060-0830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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