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Individual

DR. ALESIA JEAN GRICE-DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, LPC, RN

Contact information

Practice address
2509 MORTON DR, EAST MOLINE, IL 61244-1816
(309) 278-7065
Mailing address
2509 MORTON DR, EAST MOLINE, IL 61244-1816
(309) 278-7065

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.297967
IL

Other

Enumeration date
06/23/2016
Last updated
02/18/2022
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