Individual
ANDREA M GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
435 BUCKLAND RD, SOUTH WINDSOR, CT 06074-3720
(860) 249-3272
Mailing address
82 MANCHESTER ST, HARTFORD, CT 06112-1454
(860) 690-4983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007441
CT
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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