Individual
MS. LEISA ANN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
953 1/2 E MAIN ST, MANCHESTER, IA 52057-1836
(815) 238-2865
(563) 822-1073
Mailing address
1564 US 20 E, ELIZABETH, IL 61028-9745
(815) 238-2865
(563) 822-1073
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007286
IA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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