Individual
JUSTICE DASHAY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-6644
Mailing address
9922 HOBBITS GLEN CT APT C, SAINT LOUIS, MO 63136-4151
(913) 998-4334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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