Individual
CRYSTAL PARKER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
943 W ANDREWS AVE STE H, HENDERSON, NC 27536-2562
(252) 433-0061
Mailing address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PO12399
NC
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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