Individual
GRADY KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 S 69TH ST, UPPER DARBY, PA 19082-4212
(610) 352-8943
Mailing address
7552 SHERWOOD RD, PHILADELPHIA, PA 19151-2115
(215) 301-1829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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