Grace, Jennifer

Grace, Jennifer is an sole proprietor health care provider with primary practice located at 900 United St , Key West FL 33040-3249. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grace, Jennifer can be contacted via phone (239) 728-8194.

Contact Information

Primary practice address
900 United St Key West FL 33040-3249
Fax: (239) 574-7509
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW7907 Florida

Profile Details

NPI number 1992749527
LBN Legal business name Grace, Jennifer
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Apr 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992749527 NPPES
Florida Other SW7907 LICENSE

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