Individual
CARLIE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL ED TEACHER
Contact information
Practice address
40 CENTRE DR STE 1, ORCHARD PARK, NY 14127-4100
(716) 667-2294
(716) 667-2272
Mailing address
258 OLEAN ST, EAST AURORA, NY 14052-2533
(716) 225-2217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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