Individual
LISA MARIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 BENFIELD BLVD STE J, MILLERSVILLE, MD 21108-2645
(410) 987-2031
Mailing address
2 KAGEE CT, SEVERNA PARK, MD 21146-4829
(443) 904-4429
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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