Female

Susan R. Gran LICSW

Clinical Social Worker in Duluth, MN(View on Map)

Full Name

Susan Rose Gran LICSW

NPI Number

1669812319

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/26/2013

Specialties

(Taxonomies)

Code

1041C0700X
101YM0800X

Primary Taxonomy

Yes
No

Licenses

State

Minnesota

License Number

23873

Contact
Information

Purpose

Mailing
Location

Address

400 E 3RD ST
502 E 2ND ST

City

Duluth
Duluth

State

MN
MN

Postal Code

55805-1951
55805-1913

Country

US
US

Telephone Number

(218) 786-8364
(218) 722-4379

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

Data last updated by provider on 11/23/2022

Provider Address

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