Individual
MRS. ANDREA GRANATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2500
Mailing address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2500
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
074677
NY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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