Individual
JUSTIN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(216) 417-4166
Mailing address
3535 LEE RD, SHAKER HEIGHTS, OH 44120-5122
(216) 417-4166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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