Individual
GRACE IRENE NYBLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1769 NEWKIRK RD, FERNDALE, WA 98248-9387
(202) 487-8450
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(202) 487-8450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12961
MD
1041C0700X
Clinical Social Worker
Primary
LW61623361
WA
Other
Enumeration date
05/29/2009
Last updated
03/21/2025
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