Individual
GINA MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 W BROAD ST, COLUMBUS, OH 43222-1464
(614) 717-0822
Mailing address
1252 COUNTRY CLUB RD, COLUMBUS, OH 43227-2101
(614) 307-0336
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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