Individual
DIANNE GRADINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1306 CRENNAN LN, HEARNE, TX 77859-2034
(979) 739-1474
Mailing address
PO BOX 429, HEARNE, TX 77859-0429
(979) 739-1474
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8832
TX
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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