PATRICK BRYAN GRANELLI

RIDGEWOOD, NJ
NPI1306181938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05512300)
Enumeration Date2012-12-08
Last Update Date2012-12-08
Business Address
Mr. PATRICK BRYAN GRANELLI LCSW
112 PROSPECT ST
RIDGEWOOD, NJ 07450-4489
Phone number: 201-674-3673
Mailing Address
Mr. PATRICK BRYAN GRANELLI LCSW
16 WESTERVELT AVE
HAWTHORNE, NJ 07506-3817
Phone number: 201-674-3673