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1215504345
GRACE THERAPY, PC
COUNCIL BLUFFS, IA
NPI
1215504345
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Entity Type
Organization
Authorized Contact
TONYARAE C BOUVIER
Practice Owner
402-679-2611
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
GRACE THERAPY, PC
19971 BEVERLY MANOR LN
COUNCIL BLUFFS, IA 51503-5497
Phone number: 402-679-2611
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Mailing Address
GRACE THERAPY, PC
19971 BEVERLY MANOR LN
COUNCIL BLUFFS, IA 51503-5497
Phone number: 402-679-2611
Copy
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