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Individual

GRANT LANNIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
1945 WESTVIEW BLVD APT 1303, CONROE, TX 77304-0082
(402) 480-8774
Mailing address
1945 WESTVIEW BLVD APT 1303, CONROE, TX 77304-0082

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114060
TX

Other

Enumeration date
08/11/2025
Last updated
08/11/2025
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