Individual
GRACIELA KHAZRAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4151 S SPLENDOR CT, GILBERT, AZ 85297-6617
(480) 512-2644
Mailing address
4151 S SPLENDOR CT, GILBERT, AZ 85297-6617
(480) 512-2644
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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