NPI | 1275052599 |
---|---|
Doing Business As | AWAKEN GRACE COUNSELING |
Entity Type | Organization |
Authorized Contact | ALLISON A GRACE Manager/ Sole Proprietor 314-578-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 003113) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149018867) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2024-08-12 |