Organization
ANDREA GRANATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA GRANATH LCSW (SOCIAL WORKER)
(631) 848-6399
Entity
Organization
Contact information
Practice address
35 BOSTON STREET, LOWER LEVEL, LEFT SIDE, GUILFORD, CT 06437
(631) 848-6399
Mailing address
35 BOSTON STREET, LOWER LEVEL, LEFT SIDE, GUILFORD, CT 06437
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386971851
—
NY
Enumeration date
12/20/2017
Last updated
12/20/2017
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