Individual
TERRAH LYNN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 W CUSTER LN, FAYETTEVILLE, AR 72701-6778
(479) 595-2894
Mailing address
1975 W CUSTER LN, FAYETTEVILLE, AR 72701-6778
(479) 595-2894
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10093-M
AR
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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