Individual
MR. ERIC GRAVES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, PIP
Contact information
Practice address
2809 CREEKSTONE LN, PHENIX CITY, AL 36867-2422
(706) 442-5270
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-0255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1099-3582C
AL
1041C0700X
Clinical Social Worker
CSW005194
GA
Other
Enumeration date
01/17/2014
Last updated
12/12/2023
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