Individual
TEDRA GROGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
603 KEY ROUTE BLVD, ALBANY, CA 94706-1498
(510) 558-2506
Mailing address
603 KEY ROUTE BLVD, ALBANY, CA 94706-1498
(510) 558-2506
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
090098743
CA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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