Individual
JASMINE GRANVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(844) 206-8738
Mailing address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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