Individual
KAREN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
227 N 18TH ST, PHILADELPHIA, PA 19103-1212
(215) 854-7036
Mailing address
150 GOVERNOR MARKHAM DR, GLEN MILLS, PA 19342-1033
(610) 558-2177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW008542L
PA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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