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Individual

MRS. EMMALEA FAITH GRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
5431 MONTGOMERY RD, MIDLOTHIAN, TX 76065-4836
(972) 775-8966
Mailing address
5431 MONTGOMERY RD, MIDLOTHIAN, TX 76065-4836
(972) 775-8966

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112223
TX

Other

Enumeration date
05/08/2025
Last updated
05/08/2025
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