Individual
CARRIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2320 HIGHWAY 12 E, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Mailing address
2320 HIGHWAY 12 E, WILLMAR, MN 56201-5811
(320) 214-9692
(320) 214-9924
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
CC01079
MN
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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