Pamela Lane Graber, llbsw
Community/Behavioral Health in Midland, MI. Individual provider (NPI-1).
NPI number1972028934
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1972028934
- Entity type
- Individual (NPI-1)
- Name
- Pamela Lane Graber
- Credential
- llbsw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 6802089650 | MI | Yes |
| 104100000X | Social Worker | – | – | |
| 104100000X | Social Worker | 6802089650 | MI |
Practice location
218 Fast Ice DrMidland, MI 48642-6167
Phone 989-631-2320
Mailing address
3700 N Sturgeon RdMidland, MI 48642-8269
Phone 989-941-1724
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All 13 Community/Behavioral Health Agency providers in Midland · All 2,834 providers in Midland
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