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Organization
GRACE STREET COUNSELING
Active
Organization
GRACE STREET COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE FRIEDMAN (CLINICAL SOCIAL WORKER)
(631) 540-0554
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 8163, ST PETERSBURG, FL 33702-4305
(631) 540-0554
Mailing address
7901 4TH ST N STE 8163, ST PETERSBURG, FL 33702-4305
(631) 540-0554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/23/2021
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