Individual
PAMELA LANE GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802089650
MI
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
6802089650
MI
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
Update your record
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