NPI 1023615432

Shalisa O'Brien Grantham

Practitioner Social Worker Tuskegee, AL

Practice location

Address: 2400 Hospital Rd, Tuskegee, AL 36083-5001
Phone: (334) 727-0550

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 4741G (AL)

Other Social Worker providers in Alabama →

Registry record

NPI: 1023615432
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2020
Record last updated: 8 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.