CHARLES R GRANHOLM

FORT KNOX, KY
NPI1619953213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  1308)
Enumeration Date2005-12-16
Last Update Date2023-12-04
Business Address
Mr. CHARLES R GRANHOLM LCSW
200 BRULE ST BLDG IRELAND
FORT KNOX, KY 40121-6100
Phone number: 502-626-9885
Mailing Address
Mr. CHARLES R GRANHOLM LCSW
200 BRULE ST BLDG 871
FORT KNOX, KY 40121-6100
Phone number: 502-626-9877
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