Individual
LAKINGDRIA S GRANDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2985 BRUNSWICK RD, BARTLETT, TN 38133-4198
(603) 820-4093
Mailing address
2985 BRUNSWICK RD, BARTLETT, TN 38133-4198
(603) 820-4093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000
TN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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