Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | P008563 | NC |
NPI | 1003237066 |
---|---|
Provider Name | Megann E Grace-Sanchez |
First Address | Mooresville, NC 28117-8092 |
Second Address | Statesville, NC 28677-3414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2013 |
Last Update Date | 18/12/2013 |