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Individual

COURTNEY R GRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3751 PENNRIDGE DR STE 119, BRIDGETON, MO 63044-1244
(314) 443-7776
(949) 561-4148
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/23/2012
Last updated
02/21/2022
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