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1821596917
JUSTIN WAYNE GRAVES
MOULTRIE, GA
NPI
1821596917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA CSW005842)
Enumeration Date
2018-01-24
Last Update Date
2023-07-28
Business Address
JUSTIN WAYNE GRAVES LCSW
15 HOSPITAL PARK
MOULTRIE, GA 31768-6772
Phone number: 229-891-9443
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Mailing Address
JUSTIN WAYNE GRAVES LCSW
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131
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