MR. CHARLES GRANHOLM JR., LCSW

Social Worker - Clinical

Active Individual
NPI: 1619953213

Practice Address

200 BRULE ST BLDG IRELAND
Fort Knox, KY 40121

Phone: (502) 626-9885

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 1308 (KY)

Frequently Asked Questions

NPI 1619953213 is the National Provider Identifier for MR. CHARLES GRANHOLM JR., LCSW, a Social Worker - Clinical provider located in Fort Knox, KY. This NPI was enumerated on December 16, 2005.
MR. CHARLES GRANHOLM JR., LCSW practices at 200 BRULE ST BLDG IRELAND, Fort Knox, KY 40121.

Quick Facts

NPI
1619953213
Type
Individual
Enumerated
Dec 16, 2005
Last Updated
Dec 4, 2023

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