Individual
GRACE HARRIS LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, PIP
Contact information
Practice address
631 28TH AVE, TUSCALOOSA, AL 35401-1897
(205) 650-0576
Mailing address
631 28TH AVE, TUSCALOOSA, AL 35401-1897
(205) 650-0576
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4770C
AL
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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