| Jessica Mae Grantman, LCSW | |
|
7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 | |
| (763) 205-4843 | |
| (612) 416-2085 |
| Full Name | Jessica Mae Grantman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7766 Highway 65 Ne, Spring Lake Park, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689301863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9311-123 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34485 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mae Grantman, LCSW 2560 New Town Dr Apt 310, Sun Prairie, WI 53590-7082 Ph: (608) 729-8696 | Jessica Mae Grantman, LCSW 7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832 Ph: (763) 205-4843 |
John Dwight Ferguson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1340 81st Ave Ne, Spring Lake Park, MN 55432 Phone: 763-783-4528 Fax: 763-786-9729 | |
Jessica Luehring, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7766 Highway 65 Ne, Spring Lake Park, MN 55432 Phone: 763-205-4843 Fax: 612-416-2085 |