Most Relevant Information
Provider Data
| NPI Number: | 1003008830 |
| Provider Name: | PAULA GRACE LCSW C |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 11769 |
Most Important Dates
| Enumeration Date: | 08/15/2007 |
| Last Updated: | 12/06/2012 |
Provider Practice Location
7190 CRESTWOOD BLVD
KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK
MD
217037314
Practice Location Phone/Fax
| Phone: | 2405291700 |
| Fax: |
Provider Mailing Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE
MD
208524908
Provider Mailing Phone/Fax
| Phone: | 3018162424 |
| Fax: |