Individual
DAWN P GRAVLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
770 W RIDGE RD, SUITE 210, WYTHEVILLE, VA 24382-1046
(276) 223-3246
(276) 223-0617
Mailing address
770 W RIDGE RD, SUITE 210, WYTHEVILLE, VA 24382-1046
(276) 223-3246
(276) 223-0617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904005561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
386523
ANTHEM
VA
Enumeration date
04/13/2006
Last updated
07/08/2007
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