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Individual

MRS. CAITLYN NICOLE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW-S, LICDC

Contact information

Practice address
5275 N ABBE RD, SHEFFIELD VILLAGE, OH 44035-1451
(440) 934-9158
Mailing address
2216 DOVER AVE NE, CANTON, OH 44714-2050
(440) 897-6128

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.2102924-SUPV
OH

Other

Enumeration date
06/05/2018
Last updated
07/30/2025
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