David Dupriest Grant, LCSW Valid NPI

Individual provider · Clinical Social Worker · O Fallon, MO

NPI

1639622152

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

2022004385 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2016-08-02

Last updated

2023-04-26