| Debbie Granick Lcsw Rn Llc | |
|
8301 Maryland Ave Ste 330 Saint Louis MO 63105-3660 | |
| (314) 413-1391 | |
| Not Available |
| Full Name | Debbie Granick Lcsw Rn Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8301 Maryland Ave Ste 330, Saint Louis, Missouri |
| Authorized Official Name and Position | Debbie Granick (OWNER) |
| Authorized Official Contact | 3144131391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Granick Lcsw Rn Llc 8301 Maryland Ave Ste 330 Saint Louis MO 63105-3660 Ph: (314) 413-1391 | Debbie Granick Lcsw Rn Llc 8301 Maryland Ave Ste 330 Saint Louis MO 63105-3660 Ph: (314) 413-1391 |
| NPI Number | 1265837306 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265837306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2010012064 (Missouri) | Primary |
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