Individual
JULIE E GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17105 W 12 MILE RD, SOUTHFIELD, MI 48076-2104
(248) 557-8390
(248) 557-6427
Mailing address
735 E FOX HILLS DR, BLOOMFIELD HILLS, MI 48304-1307
(248) 291-7559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 6401005698
MI
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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