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NPI Code Detail

MEDICARE: GRACE ALSPAW

MEDICARE:   GRACE  ALSPAW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist03531-TKS

General Provider Information

NPI Number : 1518745884
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ALSPAW
Provider Business Mailing Address
First Line : 1221 N ROCK RD STE 100
Second Line :
City : DERBY
State : KS
Zip : 67037-3675
Country : US
Telephone Number : 316-789-8511
Fax Number : 316-789-8511
Provider Business Practice Location Address
First Line : 1221 N ROCK RD STE 100
Second Line :
City : DERBY
State : KS
Zip : 67037-3675
Country : US
Telephone Number : 316-789-8511
Fax Number : 316-789-8511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2023
Last Update Date : 09/18/2023

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Directions to “ GRACE ALSPAW ” Practice Location

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