SUSAN GRACE

COVENTRY, CT
NPI1679699284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  002645)
Enumeration Date2007-03-22
Last Update Date2018-12-24
Business Address
SUSAN GRACE APRN
1153 MAIN ST
COVENTRY, CT 06238-3115
Phone number: 860-341-2776
Mailing Address
SUSAN GRACE APRN
PO BOX 725
COVENTRY, CT 06238-0725
Phone number: 860-989-0035
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