Individual
GRANT RYAN MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
123 S BROAD ST STE 1835, PHILADELPHIA, PA 19109-1008
(267) 495-4951
Mailing address
123 S BROAD ST STE 1835, PHILADELPHIA, PA 19109-1008
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
PA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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