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General NPI Number Information
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NPI Number | 1639981707
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Entity Type | Individual
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Provider Name | ASHONA'GRACE CRAIG LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 16770 IMPERIAL VALLEY DR STE 125E
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City | HOUSTON
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State | TX
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Zip | 77060-3427
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Country | US
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Telephone | 281-773-8016
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 CUMMINS ST APT 1433
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City | HOUSTON
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State | TX
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Zip | 77027-5872
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Country | US
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Telephone |
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115125
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License Number State | TX
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