Individual
MS. JUDY BRANNAN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2401 WENTWOOD VALLEY DR APT 104, LITTLE ROCK, AR 72212-3651
(501) 225-6433
(501) 225-6433
Mailing address
2401 WENTWOOD VALLEY DR APT 104, LITTLE ROCK, AR 72212-3651
(501) 225-6433
(501) 225-6433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-102
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S716
BLUE CROSS - BLUE SHIELD
AR
Enumeration date
06/01/2007
Last updated
07/08/2007
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