Individual
MRS. CARMEN ANNE GRAGNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701004361
VA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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