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General NPI Number Information
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NPI Number | 1669044707
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Entity Type | Individual
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Provider Name | HAILEY MARIE GRANT MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 26077 NELSON WAY STE 901
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City | KATY
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State | TX
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Zip | 77494-6694
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Country | US
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Telephone | 281-528-1307
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Fax |
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Provider Business Mailing Address
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Address Line | 19218 RED CASCADE CT
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City | TOMBALL
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State | TX
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Zip | 77377-2474
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Country | US
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Telephone | 336-596-8135
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P016284
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108550
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License Number State | TX
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