GRADY MICHAEL FORT

BERKELEY, CA
NPI1588099568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  90047)
Enumeration Date2013-09-09
Last Update Date2016-06-06
Business Address
-- GRADY MICHAEL FORT L.M.F.T.
2955 SHATTUCK AVE STE 9
BERKELEY, CA 94705-1808
Phone number: 510-500-5231
Mailing Address
-- GRADY MICHAEL FORT L.M.F.T.
2955 SHATTUCK AVE STE 9
BERKELEY, CA 94705-1808
Phone number: 510-500-5231
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