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Individual
DEBORAH GRANICK
Active
Individual
DEBORAH GRANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RN, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2010012064
MO
1041C0700X
Clinical Social Worker
CO10514
NC
163WC1500X
Community Health Registered Nurse
2010004568
MO
163WC1500X
Community Health Registered Nurse
293967
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009850
NC
Other
Enumeration date
03/02/2012
Last updated
07/21/2022
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