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Individual

MISS MARISSA MILDRED GRABOWY

Active
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Individual

MISS MARISSA MILDRED GRABOWY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LEP

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
3128
CA
103TB0200X
Cognitive & Behavioral Psychologist
3128
CA
103TC1900X
Counseling Psychologist
3128
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3128
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TS0200X
School Psychologist
3128
CA

Other

Enumeration date
07/27/2010
Last updated
07/27/2010
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