DEREK GRANT

PHOENIX, AZ
NPI1154776607
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: AZ  1149042)
Enumeration Date2016-05-03
Last Update Date2016-05-03
Business Address
-- DEREK GRANT
4449 N 12TH STREET
PHOENIX, AZ 85014
Phone number: 602-279-1427
Mailing Address
-- DEREK GRANT
P.O. BOX 16906
PHOENIX, AZ 85011-6906
Phone number: 602-279-1427
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