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1891565453
LISA JO GRANT
SAN DIEGO, CA
NPI
1891565453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0704016502)
Enumeration Date
2024-01-04
Last Update Date
2024-01-04
Business Address
Dr. LISA JO GRANT Psy. D.
438 CAMINO DEL RIO S STE 106
SAN DIEGO, CA 92108-3546
Phone number: 855-550-6463
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Mailing Address
Dr. LISA JO GRANT Psy. D.
20001 OAKWOOD DR
ABINGDON, VA 24211-6915
Phone number: 276-608-3528
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