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Contact Information

MARCIA K GRANT, LCSW LMFT
415 E COOK RD
SUITE 100
FORT WAYNE, IN46825-3636
 Phone: 260-489-6030
 Fax: 260-489-5536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARCIA K GRANT · (Female)

NPI Number 1013076413
Status Active
Credentials LCSW LMFT
Entity Individual
Enumeration date 12/08/2006
Last updated 11/02/2015 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 34001472A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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