Individual
MR. DOUGLAS MITCHELL GRAIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CCS
Contact information
Practice address
56 S MAIN ST, STOCKTON, NJ 08559-2153
(609) 397-5971
Mailing address
56 S MAIN ST, STOCKTON, NJ 08559-2153
(609) 397-5971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00595900
NJ
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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