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1912352709
PORTIA M GRANGER
HATTIESBURG, MS
NPI
1912352709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS C7819)
Enumeration Date
2016-04-28
Last Update Date
2016-04-28
Business Address
Mrs. PORTIA M GRANGER LCSW
156 MORRELL CIR
HATTIESBURG, MS 39402-8132
Phone number: 601-434-1510
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Mailing Address
Mrs. PORTIA M GRANGER LCSW
156 MORRELL CIR
HATTIESBURG, MS 39402-8132
Phone number: 601-434-1510
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