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NPI Code Detail

MEDICARE: GRACE K GUNN LMSW

MEDICARE: GRACE K GUNN LMSW
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
1104100000XSocial Worker2026002376MO

General Provider Information

NPI Number : 1649121575
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE K GUNN LMSW
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 844-853-8937
Fax Number : 660-885-3690
Provider Business Practice Location Address
First Line : 1700 W MAIN ST
Second Line :
City : SEDALIA
State : MO
Zip : 65301-3635
Country : US
Telephone Number : 844-853-8937
Fax Number : 660-885-3690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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