GRACE JORGENSEN COPELAND

MANCHESTER, MO
NPI1982424735
Former NameGRACE ELIZABETH JORGENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2024003577)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
GRACE JORGENSEN COPELAND LPC-MHSP
625 MERAMEC STATION RD
MANCHESTER, MO 63021-5550
Phone number: 314-626-4110
Mailing Address
GRACE JORGENSEN COPELAND LPC-MHSP
9210 EWERS DR
SAINT LOUIS, MO 63126-2521
Phone number: 901-604-2451
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