Individual
ABBY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
146 W 23RD ST, HOLLAND, MI 49423-4709
(616) 820-9223
Mailing address
146 W 23RD ST, HOLLAND, MI 49423-4709
(616) 820-9223
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/13/2016
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