Individual
MR. BARRY ALLEN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 GREENBELT RD STE L4, BERWYN HEIGHTS, MD 20740-2357
(240) 965-7262
(240) 553-7262
Mailing address
6201 GREENBELT RD STE L4, BERWYN HEIGHTS, MD 20740-2357
(240) 965-7262
(240) 553-7262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2194
MD
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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