Individual
MRS. BARBARA GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
509 NE 4TH ST, GRAND PRAIRIE, TX 75050-5882
(972) 264-0604
(972) 264-9998
Mailing address
509 NE 4TH ST, GRAND PRAIRIE, TX 75050-5882
(972) 264-0604
(972) 264-9998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2691
TX
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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