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General NPI Number Information
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NPI Number | 1629451737
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Entity Type | Individual
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Provider Name | ALLISON A GRACE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 13975 MANCHESTER RD STE 2 ROOM # 17
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City | MANCHESTER
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State | MO
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Zip | 63011-4500
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Country | US
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Telephone | 314-578-3551
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Fax | 855-744-8767
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Provider Business Mailing Address
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Address Line | 1347 CULPEPPER RIDGE DR
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City | BALLWIN
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State | MO
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Zip | 63021-7526
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Country | US
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Telephone | 314-578-3551
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Fax | 855-744-8767
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.018867
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 003113
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License Number State | MO
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