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Individual

KIMBERLY S GRANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
308 MEDIC WAY, GREENCASTLE, IN 46135
(765) 653-2669
(765) 653-8671
Mailing address
103 N. CR 300 WEST, GREENCASTLE, IN 46135
(702) 217-3978

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001691A
IN

Other

Enumeration date
10/23/2008
Last updated
03/12/2013
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