Individual
DR. VICKIE A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
1604 SWEETWATER AVE, ALLIANCE, NE 69301-2672
(308) 762-5475
Mailing address
207 W 7TH ST, GORDON, NE 69343-1023
(605) 685-8896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
932
NE
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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