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Individual

GABRIELLE T GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
410 CAMPBELL AVE, WEST HAVEN, CT 06516-5014
(203) 503-3000
(203) 503-3415
Mailing address
75 CLAUDIA DR APT 434, WEST HAVEN, CT 06516-3063
(203) 214-5787

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8411
CT

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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