Individual
LUCRESHIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5407 EXCELSIOR BLVD STE B, ST LOUIS PARK, MN 55416-2932
(612) 483-4994
(952) 920-9323
Mailing address
5407 EXCELSIOR BLVD STE B, ST LOUIS PARK, MN 55416-2932
(612) 483-4994
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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