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NPI Code Detail

MEDICARE: GRACE LAWTON LICSW, LCSW

MEDICARE:   GRACE  LAWTON  LICSW, LCSW
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
11041C0700XClinical Social Worker
2104100000XSocial Worker226870MA

General Provider Information

NPI Number : 1033781356
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE LAWTON LICSW, LCSW
Provider Business Mailing Address
First Line : 805 W 10TH ST STE 302
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2038
Country : US
Telephone Number : 929-251-4874
Fax Number :
Provider Business Practice Location Address
First Line : 805 W 10TH ST STE 302
Second Line :
City : AUSTIN
State : TX
Zip : 78701-2038
Country : US
Telephone Number : 929-251-4874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2021
Last Update Date : 02/23/2024

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Directions to “ GRACE LAWTON LICSW, LCSW” Practice Location

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