Individual
LUANN GRAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFPS
Contact information
Practice address
112 HIGHWAY 371 S, HACKENSACK, MN 56452-2638
(218) 675-5101
Mailing address
853 28TH AVE SW, BACKUS, MN 56435-2328
(612) 940-5505
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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