Individual
MS. KATHLEEN ANN GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5390
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0215
MN
Other
Enumeration date
07/11/2007
Last updated
11/28/2008
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