Doctor Name: | ROBIN L GRACE |
NPI Number: | 1598079469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | L 00006960 |
Business Practice Address: | 267 Beach Road Haines, AK - 99827 |
Business Phone Number: | 9077662877 |
Business Fax Number: | |
Mailing Address: | Po Box 1001, HAINES |
State: | AK |
Postal Code: | 998271001 |
Phone Number: | 9077662877 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | L 00006960 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |