Individual
GRACE ELIZABETH COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 605-7100
(417) 708-0889
Mailing address
2864 S NETTLETON AVE, SPRINGFIELD, MO 65807-5970
(417) 605-7100
(417) 708-0889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2025018861
MO
Other
Enumeration date
06/02/2025
Last updated
06/18/2025
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