SUSAN ELIZABETH GRACE

CARBONDALE, IL
NPI1689189177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IL  149-010699)
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
SUSAN ELIZABETH GRACE LCSW
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
Mailing Address
SUSAN ELIZABETH GRACE LCSW
305 W JACKSON ST STE 200
CARBONDALE, IL 62901-1474
Phone number: 618-536-6621
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