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1033554852
CRYSTAL ADRAINE GRANT
RALEIGH, NC
NPI
1033554852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 3128-A)
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
-- CRYSTAL ADRAINE GRANT MS
1512 SUNBOW FALLS LN 301
RALEIGH, NC 27609-8130
Phone number: 919-841-6267
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Mailing Address
-- CRYSTAL ADRAINE GRANT MS
PO BOX 20543
RALEIGH, NC 27619-0543
Phone number: 919-841-6267
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