GRACE KELLY WHITE

STOCKTON, CA
NPI1659146371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: CA  ASW113407)
Enumeration Date2023-11-22
Last Update Date2023-11-22
Business Address
GRACE KELLY WHITE ASW
1414 N CALIFORNIA ST FL 2
STOCKTON, CA 95202-1515
Phone number: 209-468-2385
Mailing Address
GRACE KELLY WHITE ASW
5833 MORGAN PL UNIT 42
STOCKTON, CA 95219-4631
Phone number: 747-777-0246