Individual
BRIAN M GRANDPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW/LICSW
Contact information
Practice address
1010 32ND AVE S, MOORHEAD, MN 56560-5001
(218) 233-7524
(218) 233-8627
Mailing address
469 CLEARVIEW CT, MOORHEAD, MN 56560-6801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16723
MN
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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