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Individual
CARLOS A GRANADOS QUINTANILLA
Active
Individual
CARLOS A GRANADOS QUINTANILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84644
CA
1041C0700X
Clinical Social Worker
Primary
101795
CA
Other
Enumeration date
02/03/2016
Last updated
09/26/2023
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