Individual
BARBARA A. GRANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
89 WESTERN AVE, AUGUSTA, ME 04330-7227
(207) 933-6916
Mailing address
499 MAIN ST, MONMOUTH, ME 04259-7536
(207) 933-6916
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
434353
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248880099
—
ME
Enumeration date
09/27/2006
Last updated
01/23/2017
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