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1164275764
MADELINE GRANT
DUNMORE, PA
NPI
1164275764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: PA SW140610)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
MADELINE GRANT LSW
1416 MONROE AVE
DUNMORE, PA 18509-2477
Phone number: 570-483-8956
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Mailing Address
MADELINE GRANT LSW
62 HILDEBRANDT RD
DALLAS, PA 18612-9058
Phone number:
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