Kristen Michelle Granchalek, LCSW
Social Worker, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1790091007
StatusActive
Last updated in NPPESApr 8, 2013
Details
- NPI
- 1790091007
- Entity type
- Individual (NPI-1)
- Name
- Kristen Michelle Granchalek
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2010
- Last updated
- Apr 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.015832 | IL | Yes |
Practice location
201 E Huron StSuite 11-100
Chicago, IL 60611-3197
Phone 312-291-1208 · Fax 312-926-3709
Mailing address
201 E Huron StSuite 11-100
Chicago, IL 60611-3197
Phone 312-291-1208 · Fax 312-926-3709
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