Quinisa Grant

NPI #1881238822 in Glen Carbon, Illinois

Provider Information

NPI Number: 1881238822
Entity Type: Individual
Name: Quinisa Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 2, 2019
Last Updated: Apr 7, 2022

Practice Location

Address: 88 S MAIN ST STE 2
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1415
Phone: (618) 288-8085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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