Individual
STEPHEN ROGER GRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 101, MESA, AZ 85210-3086
(480) 649-3352
Mailing address
1830 S ALMA SCHOOL RD STE 101, MESA, AZ 85210-3086
(480) 649-3352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1405
AZ
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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