Dodson, Grady Deshawn
Dodson, Grady Deshawn is an sole proprietor health care provider with primary practice located at 5429 W Cypress Ave , Visalia CA 93277-8341. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dodson, Grady Deshawn can be contacted via phone (559) 738-9729.Contact Information
Primary practice address
5429 W Cypress Ave
Visalia CA 93277-8341
Phone: (559) 738-9729
Fax: (866) 570-8907
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW 20263 | California |
Profile Details
| NPI number | 1962682088 |
|---|---|
| LBN Legal business name | Dodson, Grady Deshawn |
| Credentials | ASW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Jun 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962682088 | NPPES |
| California | Other | ASW 20263 | BBS LICENSE # |
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