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Individual

AMIE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
11811 SHAKER BLVD., SUITE 204, PMB 678, CLEVELAND, OH 44120
(440) 371-1193
Mailing address
11811 SHAKER BLVD., SUITE 204, PMB 678, CLEVELAND, OH 44120

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2404164
OH

Other

Enumeration date
05/31/2022
Last updated
03/10/2025
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