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1366864225
ERIC GRANT
BRIDGEPORT, CT
NPI
1366864225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 58.008486)
Enumeration Date
2014-01-13
Last Update Date
2014-01-13
Business Address
-- ERIC GRANT LCSW
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 203-551-7502
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Mailing Address
-- ERIC GRANT LCSW
1635 CENTRAL AVE
BRIDGEPORT, CT 06610-2717
Phone number: 203-551-7502
Copy
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