# MS. MARREN EBERLE GRANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205080579
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 50329043501 | UT | — |
| 1041C0700X | Clinical Social Worker | C7469 | MS | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 11/13/2008