Individual
DANNEL KARL PETGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5722 CABIN CREEK RD, DAWES, WV 25054
(304) 734-2040
Mailing address
5722 CABIN CREEK RD, DAWES, WV 25054-7700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1243
WV
Other
Enumeration date
03/19/2017
Last updated
05/21/2020
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