Individual
DEANNA GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3301 OLIVE ST, SAINT LOUIS, MO 63103-1114
(314) 518-4178
Mailing address
3301 OLIVE ST, SAINT LOUIS, MO 63103-1114
(314) 518-4178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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