Individual
SHARON R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 PETROL PT, SUITE K, PEACHTREE CITY, GA 30269-1550
(470) 377-6839
(678) 723-9016
Mailing address
111 PETROL PT, SUITE K, PEACHTREE CITY, GA 30269-1550
(470) 377-6839
(678) 723-9016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006518
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160017A
—
GA
Enumeration date
04/02/2012
Last updated
05/12/2017
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