Organization
GRANGER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DETLEFSEN (OWNER)
(574) 406-8372
Entity
Organization
Contact information
Practice address
50740 PRINCESS WAY STE 500, GRANGER, IN 46530-4339
(574) 406-8372
Mailing address
50740 PRINCESS WAY STE 500, GRANGER, IN 46530-4339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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