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1821201963
FERNANDO GRANADOS
MODESTO, CA
NPI
1821201963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 22618)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. FERNANDO GRANADOS LCSW
1400 K ST
MODESTO, CA 95354-1018
Phone number: 209-550-5869
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Mailing Address
Mr. FERNANDO GRANADOS LCSW
PO BOX 188
EL NIDO, CA 95317-0188
Phone number: 559-860-9280
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