Individual
DR. THOMAS ALBERT GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
1919 UNIVERSITY AVE W, SUITE 200 (RAMSEY COUNTY MENTAL HEALTH), SAINT PAUL, MN 55104-3453
(651) 266-7925
(651) 266-7855
Mailing address
1306 WYNRIDGE DR, ARDEN HILLS, MN 55112-5769
(651) 633-5145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1052
MN
Other
Enumeration date
12/29/2006
Last updated
07/09/2007
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