Search › Texas › 104100000X
Connie Gradney, LBSW
NPI 1417206244 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2135 Willowglen Dr.
Beaumont, TX 77707 - Phone
- (409) 861-4036
- Fax
- (409) 861-4036
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas