Individual
CALLA GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 S MAIN ST, BLUFFTON, IN 46714-3616
(260) 824-1071
(260) 824-5578
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
(260) 481-2838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003564A
IN
Other
Enumeration date
06/20/2019
Last updated
04/20/2020
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