Individual
GABRIELLE GRANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
255 REVERE DR, NORTHBROOK, IL 60062-1564
(847) 412-4350
Mailing address
255 REVERE DR, NORTHBROOK, IL 60062-1564
(847) 412-4350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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