Individual
PAUL A GRAYHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1406 N GALENA DR, COEUR D ALENE, ID 83814-5990
(208) 818-6304
Mailing address
1406 N GALENA DR, COEUR D ALENE, ID 83814-5990
(208) 818-6304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW33172
ID
Other
Enumeration date
07/17/2011
Last updated
05/29/2014
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