Individual
MRS. CHARLENE R GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3909 RESERVE DR APT 2726, TALLAHASSEE, FL 32311-8209
(850) 765-5453
Mailing address
3909 RESERVE DR APT 2726, TALLAHASSEE, FL 32311-8209
(850) 765-5453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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