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Individual

GRACE MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPS

Contact information

Practice address
505 MAIN ST, NEVADA CITY, CA 95959-2218
(530) 265-6060
Mailing address
13024 BITNEY SPRINGS RD, NEVADA CITY, CA 95959-9017
(530) 577-9405

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary

Other

Enumeration date
06/30/2018
Last updated
06/30/2018
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