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Individual

MRS. RACHEL LEE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
78 MADISON AVE, SKOWHEGAN, ME 04976-1221
(207) 858-4860
(207) 858-4864
Mailing address
30 BEECH ST, SKOWHEGAN, ME 04976-1301
(207) 858-4860
(207) 858-4864

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LS8535
ME

Other

Enumeration date
05/17/2007
Last updated
07/09/2007
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