Individual
DR. KOLENE FAYE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1415 N OLD COURSE RD, WASHINGTON, UT 84780-1339
(435) 674-7075
Mailing address
1415 N OLD COURSE RD, WASHINGTON, UT 84780-1339
(435) 674-7075
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
112342-2501
UT
Other
Enumeration date
11/15/2008
Last updated
11/15/2008
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