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Organization
KATIE GRANT
Active
Organization
KATIE GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE GRANT MS, LCPC (OWNER)
(563) 676-6136
Entity
Organization
Contact information
Practice address
1800 3RD AVE, SUITE 612, ROCK ISLAND, IL 61201-8026
(563) 676-6136
(815) 377-2599
Mailing address
528 W 30TH ST, DAVENPORT, IA 52803-1016
(563) 676-6136
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.007951
IL
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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