Individual
CHERISE GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 BOARDWALK AVE, FLORISSANT, MO 63031-1502
(314) 837-8420
Mailing address
1527 BOARDWALK AVE, FLORISSANT, MO 63031-1502
(314) 837-8420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014014489
MO
Other
Enumeration date
02/16/2017
Last updated
07/19/2021
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