KATIE GRANT - NPI NUMBER 1902149115

Summary

Provider Name: KATIE GRANT

NPI Number: 1902149115

NPI Type: Organization

Clasification: Counselor (101YP2500X)

Specialization: Professional

Address:
1800 3RD AVE
SUITE 612
ROCK ISLAND, IL
ZIP 61201

Phone Number: (563) 676-6136



Detailed Information

KATIE GRANT is a professional counselor in Rock Island, IL. The assigned NPI number for this provider is 1902149115 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

1800 3RD AVE
SUITE 612
ROCK ISLAND, IL
ZIP 61201-026
Phone: (563) 676-6136
Fax: (815) 377-2599

The provider's authorized official is Katie Grant .
The authorized official title is Owner and has the following contact phone number (563) 676-6136.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 4/5/2013.

Map - Location of Practice




This page was last updated on: 5/13/2015

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