Individual
JESSICA MAE GRANTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 205-4843
(612) 416-2085
Mailing address
2560 NEW TOWN DR APT 310, SUN PRAIRIE, WI 53590-7082
(608) 729-8696
(608) 403-3464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34485
MN
1041C0700X
Clinical Social Worker
9311-123
WI
Other
Enumeration date
08/06/2022
Last updated
08/06/2025
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