Individual
JEROME GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
6360 MARYLAND AVE, MAYS LANDING, NJ 08330-1047
(609) 319-7617
Mailing address
6360 MARYLAND AVE, MAYS LANDING, NJ 08330-1047
(609) 319-7617
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06771900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06586800
NJ
Other
Enumeration date
09/26/2023
Last updated
12/07/2025
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