CHARLES BEVAUN GRAVES

FORT WAYNE, IN
NPI1164000394
Other NameC. BEVAUN GRAVES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IN  34009069A)
Enumeration Date2021-03-30
Last Update Date2021-03-30
Business Address
CHARLES BEVAUN GRAVES
2500 E STATE BLVD
FORT WAYNE, IN 46805-4728
Phone number: 260-426-5431
Mailing Address
CHARLES BEVAUN GRAVES
8844 WINCHESTER RD
FORT WAYNE, IN 46819-2254
Phone number: 260-440-9864
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