Individual
CHRISTOPHER JON GRAVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
53 S 700 E, PRICE, UT 84501-3128
(435) 610-1896
Mailing address
PO BOX 242, PRICE, UT 84501-0242
(435) 610-1896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7014686-3501
UT
Other
Enumeration date
01/27/2010
Last updated
03/16/2021
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