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1124194097
JEAN LINDA GRANT
BUFFALO, NY
NPI
1124194097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-11-24
Last Update Date
2007-07-08
Business Address
Ms. JEAN LINDA GRANT CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-833-3622
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Mailing Address
Ms. JEAN LINDA GRANT CASAC
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-833-3622
Copy
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