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NPI Code Detail

MEDICARE: JAEDEN INDIANA GRAVES

MEDICARE: JAEDEN INDIANA GRAVES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1366375057
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAEDEN INDIANA GRAVES
Provider Business Mailing Address
First Line : 356 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 356 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4516
Country : US
Telephone Number : 865-705-6355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ JAEDEN INDIANA GRAVES ” Practice Location

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