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1780855312
CHANTELLE GRANT
PORT CHARLOTTE, FL
NPI
1780855312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW8993)
Enumeration Date
2008-03-24
Last Update Date
2014-12-12
Business Address
-- CHANTELLE GRANT LCSW
3782 TAMIAMI TRL SUITE A
PORT CHARLOTTE, FL 33952-8308
Phone number: 941-629-7855
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Mailing Address
-- CHANTELLE GRANT LCSW
PO BOX 496080
PORT CHARLOTTE, FL 33949-6080
Phone number: 941-629-7855
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