Individual
MS. GRACE NELL MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATE
Contact information
Practice address
3423A MELROSE ROAD, FAYETTEVILLE, NC 28304-2222
(910) 864-8739
(910) 864-8222
Mailing address
5493 ROBMONT DR, FAYETTEVILLE, NC 28306-2674
(910) 644-1882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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