STACY GRANT

PHILADELPHIA, PA
NPI1669834362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: PA  OC012558)
Enumeration Date2016-03-22
Last Update Date2016-10-17
Business Address
STACY GRANT
415 S 42ND ST APT 4
PHILADELPHIA, PA 19104-4094
Phone number: 570-977-0646
Mailing Address
STACY GRANT
415 S 42ND ST APT 4
PHILADELPHIA, PA 19104-4094
Phone number: 570-977-0646
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