Izetta Nichole Graves

NPI #1447582853 in Morrilton, Arkansas

Provider Information

NPI Number: 1447582853
Entity Type: Individual
Name: Izetta Nichole Graves
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 10, 2010
Last Updated: Feb 10, 2010

Practice Location

Address: 100 S CHEROKEE ST
City: Morrilton
State: Arkansas
ZIP Code: 72110-2656
Phone: (479) 495-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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