Shalisa O'brien Grantham

NPI #1023615432 in Tuskegee, Alabama

Provider Information

NPI Number: 1023615432
Entity Type: Individual
Name: Shalisa O'brien Grantham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Oct 8, 2020
Last Updated: Oct 8, 2020

Practice Location

Address: 2400 HOSPITAL RD
City: Tuskegee
State: Alabama
ZIP Code: 36083-5001
Phone: (334) 727-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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