Organization
LAUREN M. GRANTHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN MICHELLE GRANTHAM MS, NCC, LPC-A (LPC-A)
(919) 394-1637
Entity
Organization
Contact information
Practice address
1807 E WALNUT ST, GOLDSBORO, NC 27530-5330
(919) 731-2119
Mailing address
1807 E WALNUT ST, GOLDSBORO, NC 27530-5330
(919) 731-2119
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
A10094
NC
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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