Individual
MEARA W GRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2676 CHARLESTOWN RD STE 9, NEW ALBANY, IN 47150-2574
(812) 948-8522
Mailing address
1125 CREEKVIEW CIR, NEW ALBANY, IN 47150-2027
(502) 608-8551
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
KY 4609
KY
1041C0700X
Clinical Social Worker
Primary
34005031A
IN
Other
Enumeration date
04/08/2010
Last updated
04/27/2010
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