Individual
JOHN GRANGER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(856) 288-2232
Mailing address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(856) 288-2232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW022425
LICENSED CLINICAL SOCIAL WORKER
PA
Enumeration date
02/11/2019
Last updated
01/27/2022
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