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1730942699
JENNIFER LYNN GRANBERG
BERKELEY, CA
NPI
1730942699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-02
Last Update Date
2024-02-02
Business Address
JENNIFER LYNN GRANBERG
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
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Mailing Address
JENNIFER LYNN GRANBERG
1835 ALLSTON WAY
BERKELEY, CA 94703-1764
Phone number: 510-666-9552
Copy
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