Individual
GAYLA GRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 E WALNUT ST, SPRINGFIELD, MO 65806-2616
(417) 380-2001
Mailing address
2052 N MISSOURI AVE, SPRINGFIELD, MO 65803-1546
(417) 380-2001
(660) 665-3989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019038093
MO
Other
Enumeration date
07/11/2018
Last updated
05/18/2024
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