Individual
MS. CODY L GRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
5354 PARKDALE DR, SECOND FLOOR, MINNEAPOLIS, MN 55416-1603
(651) 645-5323
Mailing address
5354 PARKDALE DR, SECOND FLOOR, MINNEAPOLIS, MN 55416
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2455
MN
Other
Enumeration date
10/03/2008
Last updated
05/15/2015
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