Individual
DR. MARJORIE ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-250
WY
Other
Enumeration date
02/06/2015
Last updated
11/15/2017
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