Individual
GRACE TOGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 W ANDREWS AVE, HENDERSON, NC 27536-2532
(252) 433-0061
Mailing address
943 W ANDREWS AVE, HENDERSON, NC 27536-2516
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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