Individual
KAREN MICHELE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4304 S BEARFIELD RD, COLUMBIA, MO 65201-9557
(573) 874-8686
Mailing address
347 SHADY ROCK LN, O FALLON, MO 63368-7470
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016016613
MO
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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