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Individual
DONNA J GRANT
Active
Individual
DONNA J GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W. L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R030064-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7608371
AETNA
—
01
—
IA1227
PTAN
NY
01
—
P010030064
EXCELLUS
—
Enumeration date
04/12/2007
Last updated
12/29/2015
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