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MR. LARRY L GRANT LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1265566400

Individual Registrant:
MR. LARRY L GRANT LPC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
141 GRISHAM RD  ROYAL, AR 71968-9563 US
Tel: 501-282-2750  Fax: --

Contact information for business:
141 GRISHAM RD  ROYAL, AR 71968-9563 US
Tel: 501-282-2750  Fax: --

Registration Information:
NPI: 1265566400
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
ARP0607039

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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