Individual
ERIC GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7502
(203) 551-7647
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7502
(203) 551-7647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
58.008486
CT
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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