Individual
CONSTANCE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
908 NEWPORT GAP PIKE, WILMINGTON, DE 19804-2838
(302) 691-5026
Mailing address
908 NEWPORT GAP PIKE, WILMINGTON, DE 19804-2838
(302) 691-5026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009106813
DE
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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