Individual
RUBEN FRANCISCO GRACE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5701 W TALAVI BLVD, SUITE 180, GLENDALE, AZ 85306-1886
(623) 486-8202
Mailing address
4747 N 7TH ST, SUITE 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-13866
AZ
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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