Individual
MS. CONNIE ANN GRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
202-1 NW 11TH ST, AVA, MO 65608-9731
(417) 683-4505
(417) 683-4505
Mailing address
ROUTE 1, BOX 408, AVA, MO 65608-9731
(417) 683-1162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002032332
MO
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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