Individual
DOUGLAS A GRAGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 E SUNSHINE ST, SUITE W-29, SPRINGFIELD, MO 65804-1213
(417) 988-3716
Mailing address
622 W LOMBARD CIR, SPRINGFIELD, MO 65806-3038
(417) 988-3716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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