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Individual

GRACE R STROUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
3948 BROWNING PL, RALEIGH, NC 27609-6512
(919) 783-6776
(919) 783-6776
Mailing address
1005 MILLS ST, RALEIGH, NC 27608-1833
(919) 818-3689

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046HV
BCBS
NC
05
6107266
NC
Enumeration date
05/25/2006
Last updated
03/10/2018
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