MR. Ira Grann, LCSW
NPI #1114911443 in Orange Park, Florida
Provider Information
- NPI Number
- 1114911443
- Entity Type
- Individual
- Name
- MR. Ira Grann, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 1, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1542 KINGSLEY AVE
- Address 2
- SUITE 145
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4586
- Phone
- (904) 655-5507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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