Individual
MS. DEBORAH C GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
609 FOREST AVE, 2ND FL, PORTLAND, ME 04101
(207) 772-7832
Mailing address
609 FOREST AVE, 2ND FL, PORTLAND, ME 04101
(207) 772-7832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC6261
ME
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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