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1720213143
GRACE IRENE NYBLADE
FERNDALE, WA
NPI
1720213143
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Former Name
GRACE IRENE SANTO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 12961)
Enumeration Date
2009-05-29
Last Update Date
2023-08-01
Business Address
GRACE IRENE NYBLADE MSW
1769 NEWKIRK RD
FERNDALE, WA 98248-9387
Phone number: 202-487-8450
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Mailing Address
GRACE IRENE NYBLADE MSW
1769 NEWKIRK RD
FERNDALE, WA 98248-9387
Phone number: 202-487-8450
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