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Individual

MRS. STACY-ANN THOMPSON-GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(706) 431-8382
Mailing address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(706) 431-8382

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4610
CT
104100000X
Social Worker
MSW011141
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222562827
CT
Enumeration date
05/28/2019
Last updated
04/13/2026
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