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General NPI Number Information
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NPI Number | 1609055367
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Entity Type | Individual
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Provider Name | ELIZABETH GRANT LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 45 N BROAD ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1224
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Country | US
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Telephone | 585-593-3852
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Fax | 585-593-3907
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Provider Business Mailing Address
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Address Line | 46 MARTIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1020
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Country | US
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Telephone | 585-593-3852
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Fax | 585-568-6030
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 098045
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License Number State | NY
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