Individual
GRACE TINUNGKI DU BOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 OCOEE ST N STE 8, CLEVELAND, TN 37312-4886
(888) 281-4257
Mailing address
4160 OCOEE ST N STE 8, CLEVELAND, TN 37312-4886
(888) 281-4257
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
725614
TN
Other
Enumeration date
07/01/2021
Last updated
07/06/2021
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