Individual
MELISSA LEIGH GRANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
205 N MICHIGAN AVE STE 810, CHICAGO, IL 60601-5902
(269) 364-5779
Mailing address
205 N MICHIGAN AVE STE 810, CHICAGO, IL 60601-5902
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851118604
MI
Other
Enumeration date
05/31/2019
Last updated
09/21/2024
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