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1821548801
STEPHEN P GRANT
CAMAS, WA
NPI
1821548801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC 60689265)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- STEPHEN P GRANT LMHCA
4824 NW 38TH AVE
CAMAS, WA 98607-5400
Phone number: 503-464-6004
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Mailing Address
-- STEPHEN P GRANT LMHCA
4824 NW 38TH AVE
CAMAS, WA 98607-5400
Phone number: 503-464-6004
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