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Individual

BROOKE JANAY GRANDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
600 N ARROWHEAD AVE STE 300, SAN BERNARDINO, CA 92401-1148
(909) 522-4656
Mailing address
1210 JANES WAY, COLTON, CA 92324-1669
(760) 671-0091

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118207
CA

Other

Enumeration date
11/03/2021
Last updated
01/16/2025
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