Individual
ALEXANDRIA M GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
406 S DALLAS ST, URBANA, MO 65767-9144
(417) 993-1002
Mailing address
PO BOX 125, HERMITAGE, MO 65668-0125
(417) 745-0103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023030244
MO
Other
Enumeration date
09/26/2023
Last updated
04/25/2025
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