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1770301699
CHARLES LATNEY GRANT
PORTLAND, OR
NPI
1770301699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
CHARLES LATNEY GRANT MSW
2303 E BURNSIDE ST
PORTLAND, OR 97214-1655
Phone number: 503-827-3644
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Mailing Address
CHARLES LATNEY GRANT MSW
2809 NE 21ST AVE
PORTLAND, OR 97212-3408
Phone number: 503-467-6366
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