Individual
DENEISHA LASHONZA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025-1833
(704) 939-1100
(704) 939-1173
Mailing address
10130 MALLARD CREEK RD STE 140, CHARLOTTE, NC 28262-6000
(704) 936-7633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P015398
NC
Other
Enumeration date
12/09/2020
Last updated
07/27/2021
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