Individual
ANTOINETTE MARIE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CAC-AD
Contact information
Practice address
817 N CALVERT ST, BALTIMORE, MD 21202-3705
(443) 290-6424
Mailing address
2 LANDRUM CT APT 304, PARKVILLE, MD 21234-1747
(443) 943-2984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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