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1114911443
IRA GRANN
ORANGE PARK, FL
NPI
1114911443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW1801)
Enumeration Date
2005-09-01
Last Update Date
2007-07-08
Business Address
Mr. IRA GRANN LCSW
1542 KINGSLEY AVE SUITE 145
ORANGE PARK, FL 32073-4586
Phone number: 904-655-5507
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Mailing Address
Mr. IRA GRANN LCSW
9913 MOORINGS DR
JACKSONVILLE, FL 32257-7592
Phone number: 904-262-2234
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