Thomas J. La Grave JR., LCSW

NPI #1063630077 in Yountville, California

Provider Information

NPI Number
1063630077
Entity Type
Individual
Name
Thomas J. La Grave JR., LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
150 CALIFORNIA DRIVE
ZIP Code
94599-1418
Phone
(707) 944-4575

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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