Provider Information for 1275833378
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Mrs. RACHEL LYNN GRANT L.S.W
Sex: Female
NPI: 1275833378
Last Updated: 2010-10-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1275833378 | ||||||||
| Enumeration Date | 2010-10-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 150 E MARKET ST WARREN, OH 44481-1141 United States Phone: 330-399-6451 | Fax:330-394-6266 | ||||||||
| Primary Practice Address | 150 E MARKET ST WARREN, OH 44481-1141 United States Phone: 330-399-6451 | Fax:330-394-6266 | ||||||||
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