Grant, Corine Dodge

Grant, Corine Dodge is an sole proprietor health care provider with primary practice located at 1813 John Sims Pkwy E Suite 1, Niceville FL 32578-2337. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Grant, Corine Dodge can be contacted via phone (850) 729-5009.

Contact Information

Primary practice address
1813 John Sims Pkwy E Suite 1 Niceville FL 32578-2337
Phone: (850) 729-5009
Fax: (850) 729-5022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4826 Florida

Profile Details

NPI number 1841203338
LBN Legal business name Grant, Corine Dodge
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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