Individual
BRIDGET POWERS GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
520 S PIERCE AVE STE 213, MASON CITY, IA 50401-2751
(641) 426-0650
Mailing address
PO BOX 2660, WATERLOO, IA 50704-2660
(641) 426-0650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
094848
IA
Other
Enumeration date
10/28/2019
Last updated
09/14/2021
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