Individual
CARMEN GRACE
Active
Individual
CARMEN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1901683
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801099819
SOCIAL WORKER
MI
Enumeration date
02/14/2018
Last updated
08/05/2019
Update your record
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