DIANE RAE GRINNELL

EAGAN, MN
NPI1649366808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  8942)
Enumeration Date2006-10-05
Last Update Date2018-03-21
Business Address
DIANE RAE GRINNELL LICSW
3450 OLEARY LN
EAGAN, MN 55123-2340
Phone number: 651-454-0114
Mailing Address
DIANE RAE GRINNELL LICSW
12773 ETHELTON WAY
APPLE VALLEY, MN 55124-7802
Phone number:
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