Individual
MS. NANCY DOROTHY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1502 MARY KAY BLVD, BENTON, AR 72015
(501) 315-3344
Mailing address
990 VILLA ST, MOUNTAIN VIEW, CA 94041-1236
(650) 288-6307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PO080867
AR
Other
Enumeration date
02/20/2006
Last updated
04/12/2023
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