Individual
ROSA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
350 N WASHINGTON AVE, SUITE K, TITUSVILLE, FL 32796-5806
(321) 222-0172
(888) 859-2513
Mailing address
350 N WASHINGTON AVE, SUITE K, TITUSVILLE, FL 32796-5806
(321) 222-0172
(888) 859-2513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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