MARK GRANNEMAN
Mental Health at 14 Ave, Longview, WA

License number
Washington CG60154298
Category
Mental Health
Type
Mental Health
Address
Address
921 14Th Ave, Longview, WA 98632
Phone
(360) 423-0203
(360) 577-0269 (Fax)
National Provider ID: 1750812152
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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