Corine D. Grant
Mental Health Counselor in Niceville, FL(View on Map)
Full Name
Corine Dodge Grant
NPI Number
1841203338
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/14/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
4826
Contact
Information
Purpose
Mailing
Location
Address
609 BIRKDALE CIR W
1813 JOHN SIMS PKWY E
City
Niceville
Niceville
State
FL
FL
Postal Code
32578-4303
32578-2337
Country
US
US
Telephone Number
(850) 897-6911
(850) 729-5009
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007
Provider Address
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