Individual
GRACE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 N GORE AVE, SAINT LOUIS, MO 63119-1600
(844) 424-3577
Mailing address
4351A SHAW BLVD, SAINT LOUIS, MO 63110-2225
(985) 373-0590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2023047232
MO
1041C0700X
Clinical Social Worker
Primary
2026038865
MO
Other
Enumeration date
12/18/2023
Last updated
08/20/2026
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