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Individual

MS. MARREN EBERLE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-2212
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
50329043501
UT
1041C0700X
Clinical Social Worker
Primary
C7469
MS

Other

Enumeration date
11/12/2008
Last updated
11/13/2008
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