Individual
MARCELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 DON GASPAR AVE, SANTA FE, NM 87505-2626
(505) 986-3478
Mailing address
1107 CAMINITO ALEGRE, SANTA FE, NM 87501-1605
(505) 982-4927
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1319
NM
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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