Individual
ZACHARY PRESTON GRAVGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1090 ARNOLD DRIVE, LITTLE ROCK AFB, AR 72099
(501) 987-7338
Mailing address
1090 ARNOLD DR, LITTLE ROCK AFB, AR 72099-4933
(501) 987-7338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-26006
MT
Other
Enumeration date
11/27/2017
Last updated
09/12/2024
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