Organization
GRAVETTI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER JON GRAVETT LCSW (OFFICER)
(435) 610-1893
Entity
Organization
Contact information
Practice address
53 S 700 E, PRICE, UT 84501-3128
(435) 610-1896
Mailing address
53 S 700 E, PRICE, UT 84501-3128
(435) 610-1896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7014686-3501
UT
Other
Enumeration date
07/19/2010
Last updated
01/18/2011
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