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Individual

CAMILIA GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6300 HARRY HINES BLVD FL 12, DALLAS, TX 75235-5259
(214) 456-8255
Mailing address
6300 HARRY HINES BLVD FL 12, DALLAS, TX 75235-5259

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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