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Individual
DR. MONICA L RANDOLPH-GRAHAM
Active
Individual
DR. MONICA L RANDOLPH-GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC-S
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19708
TX
101YP2500X
Professional Counselor
Primary
19708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88600L
BLUECROSSBLUESHIELD PROV#
TX
Enumeration date
02/18/2008
Last updated
06/25/2012
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