Provider Demographics
NPI:1952052771
Name:GRAINGER, JANETTE ANN
Entity Type:Individual
Prefix:MISS
First Name:JANETTE
Middle Name:ANN
Last Name:GRAINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 MOORETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13411-4716
Mailing Address - Country:US
Mailing Address - Phone:607-373-9467
Mailing Address - Fax:
Practice Address - Street 1:184 MOORETOWN RD
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:NY
Practice Address - Zip Code:13411-4716
Practice Address - Country:US
Practice Address - Phone:607-373-9467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker