DIANE GRANT

Counselor

Active Individual
NPI: 1629694799

Practice Address

1255 GOLFVIEW AVE
Bartow, FL 33830

Phone: (863) 519-0575

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1629694799 is the National Provider Identifier for DIANE GRANT, a Counselor provider located in Bartow, FL. This NPI was enumerated on June 24, 2020.
DIANE GRANT practices at 1255 GOLFVIEW AVE, Bartow, FL 33830.

Quick Facts

NPI
1629694799
Type
Individual
Enumerated
Jun 24, 2020
Last Updated
Jun 24, 2020

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