Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mary Lisa Granger

Individual provider Community Health Worker · NPI 1972316990

MS. Mary Lisa Granger is a Community Health Worker in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4000 Town Ctr Ste 1350
Southfield, MI 48075-1427
Phone: (586) 339-2178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (MI)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1972316990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

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