Individual
JESSICA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1680 DIAGONAL RD, WORTHINGTON, MN 56187-1008
(507) 372-3800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
008365
IA
1041C0700X
Clinical Social Worker
Primary
—
MN
Other
Enumeration date
09/03/2013
Last updated
12/27/2023
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