Individual
SUE C GRAVES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4700
Mailing address
2216 BELGRADE SWANSBORO RD, MAYSVILLE, NC 28555-9413
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1764
NC
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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