Individual
STEPHANIE A GRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
23751 HIGHWAY 30, CARROLL, IA 51401-8505
(712) 792-9266
(712) 792-1457
Mailing address
PO BOX 427, CARROLL, IA 51401-0427
(712) 792-9266
(712) 792-1457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
112820
IA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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