Individual
CYNTHIA GRACIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 779-6908
Mailing address
1915 D ST, ANTIOCH, CA 94509-2571
(925) 779-6908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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