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Individual

GRANT SHANE CREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
434 BRYAN ST, NAHUNTA, GA 31553-4964
(912) 462-5849
Mailing address
519 NORWICH STREET, APT 205, BRUNSWICK, GA 31520-3823
(912) 670-0996
(912) 449-7060

Taxonomy

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

Other

Enumeration date
04/12/2022
Last updated
09/09/2024
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