Organization
GRAVES AND ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GRAVES LCSW (OWNER)
(307) 761-3489
Entity
Organization
Contact information
Practice address
2020 E GRAND AVE STE 429, LARAMIE, WY 82070-4380
(307) 761-3489
Mailing address
4127 FOOTHILLS ST, LARAMIE, WY 82070-5606
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
02/07/2019
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