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Organization
ROBERT JASON GRANT ED.D AUTPLAY THERAPY CLINIC
Active
Organization
ROBERT JASON GRANT ED.D AUTPLAY THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JASON GRANT ED.D, LPC, RPT-S (OWNER)
(417) 755-9042
Entity
Organization
Contact information
Practice address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65807-1287
(417) 755-9042
(855) 425-0096
Mailing address
1613 W ELFINDALE ST, SPRINGFIELD, MO 65807-1287
(417) 755-9042
(855) 425-0096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001008080
MO
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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