Individual
MRS. CHRISTINE MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Mailing address
587 MIDDLE TPKE E, MANCHESTER, CT 06040-3731
(860) 646-3888
(860) 645-4132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
07/28/2014
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