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Organization
JACQUELYN GRANDA, LLC
Active
Organization
JACQUELYN GRANDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN MICHELLE GRANDA (OWNER)
(561) 902-8317
Entity
Organization
Contact information
Practice address
21301 POWERLINE RD STE 304, BOCA RATON, FL 33433-2391
(561) 299-1549
Mailing address
21301 POWERLINE RD STE 304, BOCA RATON, FL 33433-2391
(561) 299-1549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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