STACY GRANT

Early Intervention Provider Agency

NPI: 1669834362Individual

Specialties, Licenses & Credentials

Early Intervention Provider AgencyPrimary

Early Intervention Provider Agency

Code: 252Y00000X

OC012558(PA)

Contact & Hours

Address: 415 S 42ND ST, APT 4
PHILADELPHIA, PA 19104
Phone: (570) 977-0646

Location

Practice Location

415 S 42ND ST, PHILADELPHIA, PA

Quick Facts

NPI: 1669834362
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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