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Organization
REJUVENATE WITH GRACE, INC.
Active
Organization
REJUVENATE WITH GRACE, INC.
Active
Other names
Licensed Clinical Social Worker
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH LYNNE GRACE L.C.S.W. (PRESIDENT)
(321) 759-4325
Entity
Organization
Contact information
Practice address
130 N TROPICAL TRL, MERRITT ISLAND, FL 32953-4737
(321) 759-4325
(321) 632-1753
Mailing address
PO BOX 561248, ROCKLEDGE, FL 32956-1248
(321) 759-4325
(321) 632-1753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6089
FL
Other
Enumeration date
04/13/2012
Last updated
06/03/2014
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