Jessica Mae Grantman, LCSW

NPI #1689301863 in Spring Lake Park, Minnesota

Provider Information

NPI Number: 1689301863
Entity Type: Individual
Name: Jessica Mae Grantman, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 6, 2022
Last Updated: Aug 6, 2025

Practice Location

Address: 7766 HIGHWAY 65 NE
City: Spring Lake Park
State: Minnesota
ZIP Code: 55432-2832
Phone: (763) 205-4843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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