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Individual

ALLISON A GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
13975 MANCHESTER RD STE 2, ROOM # 17, MANCHESTER, MO 63011-4500
(314) 578-3551
(855) 744-8767
Mailing address
1347 CULPEPPER RIDGE DR, BALLWIN, MO 63021-7526
(314) 578-3551
(855) 744-8767

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003113
MO
1041C0700X
Clinical Social Worker
149.018867
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275052599
NPI
MO
01
1629451737
NPI
MO
Enumeration date
07/07/2015
Last updated
12/31/2025
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