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NPI Code Detail

MEDICARE: ROSEMARIE V HENRY-GRANT

MEDICARE:   ROSEMARIE V HENRY-GRANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorFL

General Provider Information

NPI Number : 1831653237
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE V HENRY-GRANT
Provider Business Mailing Address
First Line : 2760 FOXHALL DR W
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-8139
Country : US
Telephone Number : 561-255-8599
Fax Number :
Provider Business Practice Location Address
First Line : 2760 FOXHALL DR W
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-8139
Country : US
Telephone Number : 561-255-8599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2019
Last Update Date : 01/30/2019

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Directions to “ ROSEMARIE V HENRY-GRANT ” Practice Location

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