Organization
GRACE VENTURES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA RENEE GRACE LCSW (OWNER)
(360) 818-4376
Entity
Organization
Contact information
Practice address
16701 SE MCGILLIVRAY BLVD, SUITE 215, VANCOUVER, WA 98683-3485
(360) 818-4376
(360) 326-7224
Mailing address
16701 SE MCGILLIVRAY BLVD, SUITE 215, VANCOUVER, WA 98683-3485
(360) 818-4376
(360) 326-7224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60338821
WA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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