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1043974561
LATICIA GRENADA
BRONX, NY
NPI
1043974561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-10-30
Last Update Date
2021-10-30
Business Address
LATICIA GRENADA
3033 GODWIN TER APT 4C
BRONX, NY 10463-5344
Phone number: 646-204-2295
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Mailing Address
LATICIA GRENADA
PO BOX 940165
ROCKAWAY PARK, NY 11694-0165
Phone number: 347-224-2177
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