Organization
GRACE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
808 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-6322
(248) 310-4817
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
06/14/2023
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