Individual
MS. SUSAN E. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
(801) 587-3341
Mailing address
1545 S 1400 E, SALT LAKE CITY, UT 84105-2638
(801) 485-1504
(801) 587-3341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
138517-3501
UT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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