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Individual

ALAN CRANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
26598 TRINILAS DR, PUNTA GORDA, FL 33983-5338
(941) 815-8866
Mailing address
26598 TRINILAS DR, PUNTA GORDA, FL 33983-5338
(941) 815-8866

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH14174
FL

Other

Enumeration date
05/13/2016
Last updated
05/13/2016
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