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1619341773
KRISTIN GRANNIS
AGOURA HILLS, CA
NPI
1619341773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 112747)
Enumeration Date
2015-11-30
Last Update Date
2023-12-04
Business Address
KRISTIN GRANNIS MFTI 73996
5158 CLARETON DR UNIT 1058
AGOURA HILLS, CA 91376-7056
Phone number: 310-929-0935
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Mailing Address
KRISTIN GRANNIS MFTI 73996
PO BOX 1058
AGOURA HILLS, CA 91376-1058
Phone number: 310-929-0935
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