Individual
CHASSIDY GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
56 EAST AVE, AUSTIN, TX 78701-4323
(512) 703-1396
(512) 703-1390
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
59760
TX
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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