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1053820662
JESSICA WYNN-GRANT
OAKLAND, CA
NPI
1053820662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 92410)
Enumeration Date
2017-09-26
Last Update Date
2019-11-11
Business Address
JESSICA WYNN-GRANT
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
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Mailing Address
JESSICA WYNN-GRANT
1266 14TH ST
OAKLAND, CA 94607-2247
Phone number: 510-273-4700
Copy
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