Individual
CAROLYN GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
405 NE 90TH TER, KANSAS CITY, MO 64155-2445
(940) 613-2989
Mailing address
4149 PENNSYLVANIA AVE STE 205, KANSAS CITY, MO 64111-3034
(940) 816-5316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019045710
MO
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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