Individual
JUDY WALKER-GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CAP,ICADC,CMHP
Contact information
Practice address
630 W ADAMS ST, STE 303, JACKSONVILLE, FL 32204-1645
(904) 742-5835
(904) 212-0056
Mailing address
630 W ADAMS ST STE 401, JACKSONVILLE, FL 32204-1645
(904) 742-5835
(904) 212-0056
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766528800
—
FL
Enumeration date
03/30/2007
Last updated
03/10/2023
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