Individual
BRUCE L GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 MANCHESTER RD, SUITE 900, WHEATON, IL 60187-4579
(630) 926-3658
Mailing address
2100 MANCHESTER RD, SUITE 900, WHEATON, IL 60187-4579
(630) 926-3658
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-007300
IL
Other
Enumeration date
04/16/2009
Last updated
11/17/2010
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