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Individual

JANE SAFFLES-GRANVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
CMR 480 BOX 1137, APO, AE 09128-0012
(774) 371-1592

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
0904014159
VA
1041C0700X
Clinical Social Worker
7978
TN

Other

Enumeration date
08/23/2016
Last updated
07/18/2022
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