Individual
MRS. SARAH LYNN GRANBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MAC, CTTS, SAP
Contact information
Practice address
1949 GOLDSMITH LN STE 103, LOUISVILLE, KY 40218-3096
(502) 548-8878
(502) 785-4003
Mailing address
2604 MCCOY WAY, LOUISVILLE, KY 40205-2314
(502) 548-8878
(502) 785-4003
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100549480
—
KY
Enumeration date
11/01/2006
Last updated
06/11/2019
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