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Individual

MS. JORDAN GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLP

Contact information

Practice address
835 MASON ST, DEARBORN, MI 48124-2231
(313) 561-9064
Mailing address
28044 BROOKHILL ST, FARMINGTON HILLS, MI 48334-5116
(248) 254-2074

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007534
MI

Other

Enumeration date
08/20/2018
Last updated
06/10/2024
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