Individual
JOHN R GRAUE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. AND TH.D
Contact information
Practice address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
(417) 627-9032
Mailing address
1505 E 20TH ST, JOPLIN, MO 64804-0928
(417) 627-9601
(471) 627-9032
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
01724
MO
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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