Individual
JEANNE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 OAK HARBOR, SUITE 101, SLIDELL, LA 70458-8862
(985) 788-1374
(985) 276-3391
Mailing address
620 OAK HARBOR BLVD 101, SLIDELL, LA 70458-8862
(985) 788-1374
(985) 276-3391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8143
LA
Other
Enumeration date
07/31/2006
Last updated
09/03/2015
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