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Individual

MRS. ANGELA JOYCE GRANDLIENARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC

Contact information

Practice address
108 S MAIN ST, FAIRMOUNT, IN 46928-1923
(765) 293-2936
Mailing address
2522 E QUAIL RUN, MARION, IN 46953-4728
(517) 740-6663

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/01/2012
Last updated
03/17/2019
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