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1164101853
STEPHEN BERNARD GRANT
CONYERS, GA
NPI
1164101853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-07-12
Last Update Date
2023-08-02
Business Address
STEPHEN BERNARD GRANT
2195 W HIGHTOWER TRL
CONYERS, GA 30012-1820
Phone number: 770-330-6987
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Mailing Address
STEPHEN BERNARD GRANT
PO BOX 3496
LILBURN, GA 30048-3496
Phone number: 770-330-6987
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