Whalio Doctors

NPI 1013076413

Marcia K Grant, LCSWLMFT

Practitioner Social Worker Fort Wayne, IN

Practice location

Address
415 E Cook Rd Suite 100, Fort Wayne, IN 46825-3636
Phone
(260) 489-6030
Fax
(260) 489-5536

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 34001472A (IN)

Registry record

NPI
1013076413
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Dec 2006
Record last updated
2 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.