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Individual

COURTNEY GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 W ELLIOTT ST, SAINT IGNACE, MI 49781-1868
(906) 643-8616
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801086347
MI

Other

Enumeration date
02/02/2009
Last updated
07/23/2024
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