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1053706374
DEMETRIUS R GRANGER
CHESAPEAKE, VA
NPI
1053706374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007995)
Enumeration Date
2015-04-02
Last Update Date
2015-04-02
Business Address
Mr. DEMETRIUS R GRANGER LCSW
717 SUTHERLAND DR
CHESAPEAKE, VA 23320-6641
Phone number: 757-232-3882
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Mailing Address
Mr. DEMETRIUS R GRANGER LCSW
717 SUTHERLAND DR
CHESAPEAKE, VA 23320-6641
Phone number: 757-232-3882
Copy
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