Individual
LAUREN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 WILLOW ST, POTTSTOWN, PA 19464-1811
(610) 326-7734
(610) 326-4762
Mailing address
1922 DEVEREAUX AVE, PHILADELPHIA, PA 19149-3442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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