Individual
GRACE EMILY TOMLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 W JACKSON ST, BOLIVAR, MO 65613-1931
(417) 619-1595
Mailing address
1730 E VALLEY WATER MILL RD APT D305, SPRINGFIELD, MO 65803-4731
(417) 399-3644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2014031373
MO
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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