Individual
MR. JOEL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW STUDENT
Contact information
Practice address
10 N GREENE ST, (BALITMORE VA - PC MC BUSER), BALTIMORE, MD 21201-1524
(410) 605-7259
Mailing address
9840 DECATUR RD, MIDDLE RIVER, MD 21220-3777
(973) 879-8520
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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