Individual
KIMBERLY MAXWELL GRANTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5027 36TH AVE S, MINNEAPOLIS, MN 55417-1516
(509) 304-4454
Mailing address
5027 36TH AVE S, MINNEAPOLIS, MN 55417-1516
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
25-077
MN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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