Organization
CHRISTINA GRANADOS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA GRANADOS LSCSW (THERAPIST/OWNER)
(316) 202-8549
Entity
Organization
Contact information
Practice address
727 N WACO AVE STE 575, WICHITA, KS 67203-3951
(316) 202-8549
Mailing address
2420 N AMARADO ST, WICHITA, KS 67205-1521
(316) 202-8549
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/27/2018
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