| Grace Ventures Corporation | |
|
16701 Se Mcgillivray Blvd Suite 215 Vancouver WA 98683-3485 | |
| (360) 818-4376 | |
| (360) 326-7224 |
| Full Name | Grace Ventures Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 16701 Se Mcgillivray Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Vanessa Renee Grace (OWNER) |
| Authorized Official Contact | 3608184376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Ventures Corporation 16701 Se Mcgillivray Blvd Suite 215 Vancouver WA 98683-3485 Ph: (360) 818-4376 | Grace Ventures Corporation 16701 Se Mcgillivray Blvd Suite 215 Vancouver WA 98683-3485 Ph: (360) 818-4376 |
| NPI Number | 1043671142 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043671142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60338821 (Washington) | Primary |
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