# REBECCA GRADLER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164245056
- **Authorized official:** MRS. REBECCA M GRADLER LISW-CP (OWNER)
- **Authorized official phone:** (202) 549-1904

## Contact information

- **Practice address:** 3694 EDINGS CT, JOHNS ISLAND, SC 29455-8189
- **Practice address phone:** (202) 549-1904
- **Mailing address:** 3694 EDINGS CT, JOHNS ISLAND, SC 29455-8189
- **Mailing address phone:** (202) 549-1904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2024
- **Last updated:** 11/07/2024