Individual
MS. ELLEN KATHRYN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
34 MAPLE STREET, NORWALK, CT 06850-3894
(203) 327-7672
Mailing address
1 STRAWBERRY HILL AVENUE, 2A, STAMFORD, CT 06902
(203) 327-7672
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002399
CT
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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