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Organization
MODEL OF RESILIENCE PSYCHOTHERAPY
Active
Organization
MODEL OF RESILIENCE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONESHA GRAHAM LCSW (PSYCHOTHERAPIST)
(585) 794-0641
Entity
Organization
Contact information
Practice address
2024 W HENRIETTA RD STE 2A, ROCHESTER, NY 14623-1357
(585) 734-9381
Mailing address
53 FALLESON RD, ROCHESTER, NY 14612-5751
(585) 794-0641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
01/22/2024
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