Organization
CHAMPIONS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DM GRANT PSYD (DIRECTOR-MEMBER)
(786) 269-7819
Entity
Organization
Contact information
Practice address
7 HADLEY ST, SUITE 4, SOUTH HADLEY, MA 01075-1147
(786) 269-7819
(413) 437-7826
Mailing address
7 HADLEY ST, SUITE 4, SOUTH HADLEY, MA 01075-1147
(786) 269-7819
(413) 437-7826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9903
MA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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