Individual
KATRINA R. GRANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 ELWELL DR, TALLAHASSEE, FL 32303-3009
(850) 536-0239
(850) 562-4555
Mailing address
1309 ELWELL DR, TALLAHASSEE, FL 32303-3009
(850) 536-0239
(850) 562-4555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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