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David Lashawn Graves
Peer Specialist in Waterford, Michigan
NPI 1922876200

David Lashawn Graves is a Peer Specialist based in Pontiac, MI. David Lashawn Graves practices in Waterford, MI. The NPI Number for David Lashawn Graves is 1922876200 and holds a License No. (Michigan).

The current practice location address for David Lashawn Graves is 279 Summit Dr, Waterford, MI and can be reached out via phone at 678-379-8559.

Location: 279 Summit Dr, Waterford, MI, 48342-2350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922876200
Provider Name
David Lashawn Graves
Credential
Provider Entity Type
Individual
Gender
Male
Address
279 Summit Dr, Waterford, MI, 48342-2350
Phone Number
678-379-8559
Fax Number
Provider Enumeration Date
12/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
678-379-8559
Fax Number
person
Provider Business Mailing Address Details
Address
279 Summit Dr
City
Waterford
State
Michigan
Zip
48328-3364
Phone Number
678-379-8559
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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