Individual
QYONNA I. GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
106 COTTON BOLL DR NW, MADISON, AL 35757-6948
(256) 508-5619
Mailing address
PO BOX 1252, MADISON, AL 35758-5252
(256) 384-5135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16624
LA
1041C0700X
Clinical Social Worker
Primary
5227C
AL
Other
Enumeration date
08/31/2020
Last updated
08/02/2023
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