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NPI Code Detail

MEDICARE: ALESHIA GRANT MSW, LICSW

MEDICARE: ALESHIA GRANT MSW, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker5734CAL

General Provider Information

NPI Number : 1194194357
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESHIA GRANT MSW, LICSW
Provider Business Mailing Address
First Line : 130 VANCOUVER RD
Second Line :
City : MERIDIANVILLE
State : AL
Zip : 35759-2132
Country : US
Telephone Number : 504-906-5433
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 646-941-7645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2015
Last Update Date : 11/04/2024

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Directions to “ ALESHIA GRANT MSW, LICSW” Practice Location

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