Individual
AYANA UTAMU GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 N ST SW APT S408, WASHINGTON, DC 20024-4559
(240) 406-7606
Mailing address
530 N ST SW APT S408, WASHINGTON, DC 20024-4559
(240) 406-7606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018038
PA
Other
Enumeration date
06/19/2014
Last updated
10/30/2022
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