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Individual

WILLIAM RONALD GRANT II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CAC-R

Contact information

Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
28780 ESSEX ST, ROSEVILLE, MI 48066-2542
(586) 776-4527

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/11/2010
Last updated
08/23/2024
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