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Individual

INGRID T. GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A,M.A

Contact information

Practice address
3326 E BADGER RD, EVERSON, WA 98247-9232
(360) 988-2641
(360) 988-8983
Mailing address
3326 E BADGER RD, EVERSON, WA 98247-9232
(360) 988-2641
(360) 988-8983

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/17/2012
Last updated
10/17/2012
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