Individual
LESLEY GRANHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 CASON LN STE A, MURFREESBORO, TN 37128-4871
(615) 509-9790
Mailing address
567 CASON LN STE A, MURFREESBORO, TN 37128-4871
(615) 509-9790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7560
TN
Other
Enumeration date
06/30/2008
Last updated
10/17/2011
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