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Individual
GRADY DESHAWN DODSON
Active
Individual
GRADY DESHAWN DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 20263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW 20263
BBS LICENSE #
CA
Enumeration date
11/06/2007
Last updated
06/24/2011
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