KENNETH L. GRAVES

MANSFIELD, OH
NPI1972092401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  140444)
Enumeration Date2018-05-10
Last Update Date2018-05-10
Business Address
KENNETH L. GRAVES
400 BOWMAN ST
MANSFIELD, OH 44903-1235
Phone number: 419-610-1428
Mailing Address
KENNETH L. GRAVES
400 BOWMAN ST
MANSFIELD, OH 44903-1235
Phone number: 419-610-1428
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