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NPI Code Detail

MEDICARE: MISS KATHERINE MARGARET GRANT LMSW

MEDICARE:  MISS KATHERINE MARGARET GRANT  LMSW
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
1104100000XSocial Worker121868-01NY

General Provider Information

NPI Number : 1760259931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KATHERINE MARGARET GRANT LMSW
Provider Business Mailing Address
First Line : 768 DELAWARE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14209-2006
Country : US
Telephone Number : 716-882-3151
Fax Number :
Provider Business Practice Location Address
First Line : 376 HUDSON ST APT 2
Second Line :
City : BUFFALO
State : NY
Zip : 14201-1776
Country : US
Telephone Number : 716-807-7426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2023
Last Update Date : 02/29/2024

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Directions to “ MISS KATHERINE MARGARET GRANT LMSW” Practice Location

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