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Individual

MRS. BRIDGET GRANHOLM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4800
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4800

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05499400
NJ

Other

Enumeration date
04/04/2011
Last updated
10/02/2014
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