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1104563915
ALYSSA GRANT
OMAHA, NE
NPI
1104563915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
ALYSSA GRANT
5072 S 135TH ST
OMAHA, NE 68137-1639
Phone number: 402-616-9876
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Mailing Address
ALYSSA GRANT
2412 S 11TH ST
COUNCIL BLUFFS, IA 51501-7407
Phone number: 402-616-9876
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