Individual
MS. GRACE MARIE STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3522 SUNSET BLVD, HOUSTON, TX 77005-2134
(832) 622-5518
(713) 473-0070
Mailing address
PO BOX 7312, HOUSTON, TX 77248-7312
(832) 622-5518
(713) 473-0070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S00573
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011672
AMERIGROUP
—
05
—
107678801
—
TX
01
—
275652000
MAGELLAN
—
Enumeration date
08/04/2006
Last updated
08/03/2009
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