Organization
BRIDGETTE GRANT LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE MARIE GRANT LCSW (LCSW)
(267) 975-8308
Entity
Organization
Contact information
Practice address
4435 LOWER HONOAPIILLANI RD, 142, LAHAINA, HI 96761
(267) 975-8308
Mailing address
4435 LOWER HONOAPILLANI RD, 142, LAHAINA, HI 96761
(267) 975-8308
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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