SHELLY ANN GRANTHAM
Mental Health at 89 St, Bradenton, FL

License number
Florida 14959
Issued Date
Jul 21, 2016
Effective Date
Jul 21, 2016
Expiration Date
Mar 31, 2022
Category
Health Care
Type
Registered Mental Health Counselor Intern
Address
Address 2
2612 89Th St NW, Bradenton, FL 34209
10770 N 46Th St E BLDG E, Tampa, FL 33617
Phone
(941) 761-0767

Personal information

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Name
Address
Phone
Shelly Grantham, age 51
217 St Lucie Way, Saint Augustine, FL 32092
Shelly Grantham
2612 89Th St NW, Bradenton, FL 34209
(941) 761-3172