Female

Emily A. Granville

Behavior Technician in Plymouth, MN(View on Map)

Full Name

Emily Ann Granville

NPI Number

1629722913

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/07/2022

Specialties

(Taxonomies)

Code

106S00000X
247200000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

3007 HARBOR LN N STE 1200
3007 HARBOR LN N STE 1200

City

Plymouth
Plymouth

State

MN
MN

Postal Code

55447-5103
55447-5103

Country

US
US

Telephone Number

(612) 445-8317
(612) 445-8317

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/25/2022

Provider Address

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