Individual
RUBY DENISE GRAVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
327 S 500 E, AMERICAN FORK, UT 84003-2525
(801) 669-4414
Mailing address
327 S 500 E, AMERICAN FORK, UT 84003-2525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6321303-6004
UT
Other
Enumeration date
07/16/2008
Last updated
08/24/2012
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