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1558633883
CARROLL GRANT
SYRACUSE, NY
NPI
1558633883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 002644-1)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
-- CARROLL GRANT Ph.D.
215 BASSETT ST
SYRACUSE, NY 13210-2113
Phone number: 315-472-4404
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Mailing Address
-- CARROLL GRANT Ph.D.
215 BASSETT ST
SYRACUSE, NY 13210-2113
Phone number: 315-472-4404
Copy
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