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Individual
MS. TYRISHA GENEA SMITH-GRADY
Active
Individual
MS. TYRISHA GENEA SMITH-GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW STUDENT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
941667294
WEST OAKLAND HEALTH COUNCIL
CA
Enumeration date
10/16/2008
Last updated
12/28/2012
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