Individual
KINGSLEY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
70 NE 210TH ST, MIAMI, FL 33179-1007
(305) 653-2943
Mailing address
70 NE 210TH ST, MIAMI, FL 33179-1007
(305) 653-2943
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT2462
FL
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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