Individual
ANTONIA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6377
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6377
SC LICENSE #
SC
Enumeration date
12/11/2006
Last updated
07/21/2022
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