Organization
DEBBIE GRANICK LCSW RN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE GRANICK LCSW (OWNER)
(314) 413-1391
Entity
Organization
Contact information
Practice address
8301 MARYLAND AVE STE 330, SAINT LOUIS, MO 63105-3660
(314) 413-1391
Mailing address
8301 MARYLAND AVE STE 330, SAINT LOUIS, MO 63105-3660
(314) 413-1391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010012064
MO
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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