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Individual

LORRAINE MARIE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
8401 5TH AVE NE, APT 103, SEATTLE, WA 98115-4180
(206) 720-3984
Mailing address
8401 5TH AVE NE, APT 103, SEATTLE, WA 98115-4180

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60609341
WA

Other

Enumeration date
07/27/2016
Last updated
01/27/2017
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