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Individual

LANCE GRACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3211 WOODLAND AVE, KANSAS CITY, MO 64109-2073
(816) 634-8298
Mailing address
9303 NW 77TH ST, WEATHERBY LAKE, MO 64152-1726
(816) 634-8298

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021005656
MO

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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