Individual
PAMELA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2102 CROMLEY CIR STE B, MYRTLE BEACH, SC 29577-3187
(843) 945-4107
Mailing address
2102 CROMLEY CIR STE B, MYRTLE BEACH, SC 29577-3187
(843) 945-4107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5386
SC
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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