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1780364976
ANTOINETTE MARIE GRANT
BALTIMORE, MD
NPI
1780364976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
ANTOINETTE MARIE GRANT BS, CAC-AD
817 N CALVERT ST
BALTIMORE, MD 21202-3705
Phone number: 443-290-6424
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Mailing Address
ANTOINETTE MARIE GRANT BS, CAC-AD
2 LANDRUM CT APT 304
PARKVILLE, MD 21234-1747
Phone number: 443-943-2984
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