Individual
MRS. ERICA MICHELLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3415 OLD 41 HIGHWAY STE 750, KENNESAW, GA 30144-1028
(785) 748-3163
(678) 574-8315
Mailing address
3415 OLD 41 HIGHWAY STE 750, KENNESAW, GA 30144-1028
(678) 574-8313
(678) 574-8315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004316
GA
Other
Enumeration date
10/01/2011
Last updated
04/04/2021
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