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Search › Pennsylvania › 1041C0700X

Tara Gravitt, LCSW, CAADC, CCM

NPI 1699371419 · on the registry since 2020 · sole proprietor

Practice

Address
1601 Walnut St Ste 1017
Philadelphia, PA 19102
Phone
(267) 308-4303
Organisation at this address
Zapster Llc
Klc Wellness
Ken Lin Dmd Pc
Amk Enterprises
Dental Artistry
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
171M00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-07

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 Pennsylvania