Individual
MR. GRANVILLE DAVID DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1330
(606) 638-0938
(859) 813-5394
Mailing address
4216 OXMOOR RD, EVANSVILLE, IN 47715-1314
(812) 568-8465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
259629
KY
1041C0700X
Clinical Social Worker
34006043A
IN
Other
Enumeration date
08/29/2022
Last updated
12/04/2025
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