Individual
SUZANNE R GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW, LSCSW
Contact information
Practice address
5424 STATE AVE, KANSAS CITY, KS 66102-3446
(913) 287-1300
Mailing address
5841 CHARLOTTE ST, KANSAS CITY, MO 64110-3017
(816) 523-0454
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5811
KS
Other
Enumeration date
05/01/2006
Last updated
06/16/2008
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