Individual
JUSTIN GRANT
Active
Individual
JUSTIN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, MPH
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW.09930009
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09930009
CO
Other
Enumeration date
10/22/2021
Last updated
02/02/2026
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