Individual
MS. TONNYA G GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 FOREST CIR, WALTERBORO, SC 29488-2869
(843) 584-4155
Mailing address
507 FOREST CIR, WALTERBORO, SC 29488-2869
(843) 584-4155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
SC
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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