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Organization

A PLACE FOR GRACE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA FRITCHEY LPC (OWNER)
(573) 774-4198
Entity
Organization

Contact information

Practice address
413 HISTORIC 66 W, WAYNESVILLE, MO 65583
(573) 774-4198
(573) 774-4951
Mailing address
413 HISTORIC 66 W, WAYNESVILLE, MO 65583
(573) 774-4198
(573) 774-4951

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
504449208
MO
Enumeration date
10/05/2007
Last updated
12/08/2008
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