Individual
MR. JAMES ANDERSON GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 896-7105
(502) 259-4021
Mailing address
3607 MARLIN DR, LOUISVILLE, KY 40299-3532
(502) 266-6668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY-1249
KY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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