PHILIP GRANDE

LAKE ELSINORE, CA
NPI1811650666
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT44227)
Enumeration Date2021-10-19
Last Update Date2021-10-19
Business Address
PHILIP GRANDE LMFT
29421 ROCKY CANYON DR
LAKE ELSINORE, CA 92530-7273
Phone number: 626-255-1143
Mailing Address
PHILIP GRANDE LMFT
29421 ROCKY CANYON DR
LAKE ELSINORE, CA 92530-7273
Phone number: 626-255-1143
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