JONATHAN W. GRANTHAM

GREENWOOD, MS
NPI1679814834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MS  1238)
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
-- JONATHAN W. GRANTHAM LPC
2504 BROWNING ROAD 520
GREENWOOD, MS 38930-6022
Phone number: 662-453-6211
Mailing Address
-- JONATHAN W. GRANTHAM LPC
PO BOX 1505
GREENWOOD, MS 38935-1505
Phone number:
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