Individual
MS. NICOLE A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 1ST ST NW, CHOTEAU, MT 59422-9378
(781) 854-2861
Mailing address
17 1ST ST NW, CHOTEAU, MT 59422-9378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
230631
MA
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-90269
MT
1041C0700X
Clinical Social Worker
SC61604804
WA
Other
Enumeration date
07/29/2024
Last updated
07/30/2026
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