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Contact Information

ZACHARY P GRAVGAARD, LCSW
1090 ARNOLD DRIVE
LITTLE ROCK AFB, AR72099
 Phone: 501-987-7338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ZACHARY P GRAVGAARD · (Male)

NPI Number 1740794940
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/27/2017
Last updated 09/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MT License # BBH-LCSW-LIC-26006
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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