Individual
GRANT J WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW C
Contact information
Practice address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
(410) 378-9922
Mailing address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05974
MD
Other
Enumeration date
04/05/2006
Last updated
11/22/2024
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