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Individual

DR. CAROL LOUISE GRANLUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
6543 SYCAMORE LN, PALMDALE, CA 93551-1914
(661) 943-0912

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16639
CA

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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