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Individual

CAMILLE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
Mailing address
702 WELLINGTON WAY, COLLIERVILLE, TN 38017-1391
(901) 736-2324

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-264881
TN

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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