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NPI Code Detail

MEDICARE: MRS. JULIA LYNN GRANT L.C.S.W.

MEDICARE:  MRS. JULIA LYNN GRANT  L.C.S.W.
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 Worker19517CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
119517OTHERCAL.C.S.W. LICENSE NUMBER
211702176OTHERCACAQH PROVIDER #
39942OTHERCAPLACER COUNTY PROVIDER #
4383319OTHERARMHN 'PIN' NUMBER

General Provider Information

NPI Number : 1225169725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIA LYNN GRANT L.C.S.W.
Provider Business Mailing Address
First Line : 8177 MORGAN HILL WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95828-6365
Country : US
Telephone Number : 916-681-0965
Fax Number :
Provider Business Practice Location Address
First Line : 3050 FITE CIR
Second Line : STE 204
City : SACRAMENTO
State : CA
Zip : 95827-1807
Country : US
Telephone Number : 916-600-7887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 08/29/2019

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Directions to “ MRS. JULIA LYNN GRANT L.C.S.W.” Practice Location

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