Individual
MR. KEITH DAVID GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW LSW
Contact information
Practice address
808 S 80TH AVE, YAKIMA, WA 98908-9727
(509) 307-2999
Mailing address
808 S 80TH AVE, YAKIMA, WA 98908-9727
(509) 307-2999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00005531
WA
Other
Enumeration date
10/02/2006
Last updated
08/12/2007
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