Individual
BREAH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1785 COATES PASS, HOOVER, AL 35244-5630
(251) 599-0977
Mailing address
1785 COATES PASS, HOOVER, AL 35244-5630
(251) 599-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
AL
1041S0200X
School Social Worker
—
AL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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