Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | Q1-0001327 | DE |
NPI | 1003210451 |
---|---|
Provider Name | April Grant |
First Address | Wilmington, DE 19803-3809 |
Second Address | Wilmington, DE 19803-3809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2014 |
Last Update Date | 14/10/2014 |