Individual
DR. DARAH E. GRANGER-PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1857 WELLS RD, SUITE 222, ORANGE PARK, FL 32073-2338
(904) 534-4441
Mailing address
1857 WELLS RD, SUITE 222, ORANGE PARK, FL 32073-2338
(904) 534-4441
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8249
FL
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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