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Organization
THOMAS GRACE PSY.D.
Active
Organization
THOMAS GRACE PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GRACE PSY.D. (PSYCHOLOGIST)
(201) 207-2199
Entity
Organization
Contact information
Practice address
14-25 PLAZA RD, SUITE N-2-4, FAIR LAWN, NJ 07410-3546
(201) 207-2199
Mailing address
14-25 PLAZA RD, SUITE N-2-4, FAIR LAWN, NJ 07410-3546
(201) 207-2199
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
35S100487500
NJ
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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