Individual
KEYUNDRA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Mailing address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14172
LA
Other
Enumeration date
04/09/2019
Last updated
10/23/2024
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