Provider Demographics
NPI:1205170388
Name:RAWLINS, GRACE ADELAIDE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:ADELAIDE
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:189 W CLARKSTON RD
Mailing Address - Street 2:BOX 18
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-2892
Mailing Address - Country:US
Mailing Address - Phone:844-642-9273
Mailing Address - Fax:810-452-6007
Practice Address - Street 1:189 W CLARKSTON RD
Practice Address - Street 2:BOX 18
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-2892
Practice Address - Country:US
Practice Address - Phone:844-642-9273
Practice Address - Fax:810-452-6007
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010943181041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical