Individual
ALEXANDRA JACQUELINE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
WILFORD HALL AMBULATORY SURGICAL CENTER,, 1100 WILFORD HALL LOOP, BLDG. 4554, JBSA LACKLAND, TX 78236-3308
(210) 292-5972
Mailing address
1100 WILFORD HALL LOOP BLDG 455459, JBSA LACKLAND, TX 78236-5638
(210) 292-5972
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105293
TX
Other
Enumeration date
05/18/2021
Last updated
08/15/2023
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