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1144002452
GRANT SANFORD
PROVIDENCE, RI
NPI
1144002452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW03106)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
GRANT SANFORD LICSW
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-0796
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Mailing Address
GRANT SANFORD LICSW
167 NORWOOD AVE APT 8
CRANSTON, RI 02905-3951
Phone number: 315-408-6521
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