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1164000394
CHARLES BEVAUN GRAVES
FORT WAYNE, IN
NPI
1164000394
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Other Name
C. BEVAUN GRAVES
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34009069A)
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
CHARLES BEVAUN GRAVES
2500 E STATE BLVD
FORT WAYNE, IN 46805-4728
Phone number: 260-426-5431
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Mailing Address
CHARLES BEVAUN GRAVES
8844 WINCHESTER RD
FORT WAYNE, IN 46819-2254
Phone number: 260-440-9864
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