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1548566086
SHANE T GRANT
BALTIMORE, MD
NPI
1548566086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 13996)
Enumeration Date
2011-02-01
Last Update Date
2011-02-01
Business Address
Mr. SHANE T GRANT LCSW-C
711 W 40TH ST SUITE 456-B
BALTIMORE, MD 21211-2120
Phone number: 410-235-9200
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Mailing Address
Mr. SHANE T GRANT LCSW-C
711 W 40TH ST SUITE 456-B
BALTIMORE, MD 21211-2120
Phone number: 410-235-9200
Copy
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