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Individual

BRENDA GRAVERMOEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
203 BRIARWOOD RD, SPARTANBURG, SC 29301-2934
(864) 580-1041
Mailing address
203 BRIARWOOD RD, SPARTANBURG, SC 29301-2934
(864) 580-1041

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10020
SC

Other

Enumeration date
05/26/2016
Last updated
05/26/2016
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