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Individual

DR. LEANNE MARIE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9449 N 90TH ST, SUITE #210, SCOTTSDALE, AZ 85258-5099
(480) 451-8500
Mailing address
P.O. BOX 871012, TEMPE, AZ 85287-1012
(480) 965-6146

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4037
AZ
103TC0700X
Clinical Psychologist
Primary
PSY#4037
AZ

Other

Enumeration date
07/08/2010
Last updated
03/08/2011
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