DEIDRA GRAVINA

VANCOUVER, WA
NPI1124506480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
DEIDRA GRAVINA
6926 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7254
Phone number: 360-993-3000
Mailing Address
DEIDRA GRAVINA
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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