Individual
MEGAN MICHELLE GRAMLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1516 W LAKE ST STE 110, MINNEAPOLIS, MN 55408-2554
(701) 238-4355
Mailing address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(701) 238-4355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22609
MN
Other
Enumeration date
01/18/2016
Last updated
05/08/2018
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