Individual
TAYLOR LYNN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1054 SW RAILROAD AVE, PONCHATOULA, LA 70454-3557
(985) 515-8409
Mailing address
1054 SW RAILROAD AVE, PONCHATOULA, LA 70454-3557
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16570
LA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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