Individual
TRAVIS JOHN GRANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(304) 617-0899
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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