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1447028501
VICKI ANN GRANTHAM
LITTLE ROCK, AR
NPI
1447028501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TM1800X Psychologist Mental Retardation & Developmental Disabilities
(Licence: AR 85-23EI)
Enumeration Date
2023-12-18
Last Update Date
2023-12-18
Business Address
MS. VICKI ANN GRANTHAM M.S.
6124 NORTHMOOR DR
LITTLE ROCK, AR 72204-2504
Phone number: 501-786-2433
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Mailing Address
MS. VICKI ANN GRANTHAM M.S.
10801 PLATTE VALLEY DR
LITTLE ROCK, AR 72212-3654
Phone number: 501-786-2433
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