Individual
GRACE MACMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5409 SE 28TH ST, DES MOINES, IA 50320-2050
(515) 375-2414
(515) 217-4225
Mailing address
5409 SE 28TH ST, DES MOINES, IA 50320-2050
(515) 375-2414
(515) 217-4225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098309
IA
Other
Enumeration date
03/31/2021
Last updated
10/13/2025
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