Individual
DAVID GRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98213
(425) 349-7481
Mailing address
P.O. BOX 3810, EVERETT, WA 98213
(425) 349-8359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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