Individual
DEDRICK MICHELLE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
609 E CHURCH ST, BOONEVILLE, MS 38829-3711
(662) 728-2488
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4910
(662) 372-2033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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