DWAYNE GRAVES

SALEM, OR
NPI1457894552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  16-CRM-083)
Enumeration Date2016-11-22
Last Update Date2016-11-22
Business Address
-- DWAYNE GRAVES CRM
3878 BEVERLY AVE NE BUILDING H SUITE 5
SALEM, OR 97305-1394
Phone number: 503-399-0670
Mailing Address
-- DWAYNE GRAVES CRM
3878 BEVERLY AVE NE BUILDING H SUITE 5
SALEM, OR 97305-1394
Phone number: 503-399-0670
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