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Organization
LAUREN GRAHAM LLC
Active
Organization
LAUREN GRAHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ALINE GRAHAM LCSW (OWNER)
(307) 250-0645
Entity
Organization
Contact information
Practice address
323 N DIVISION ST, POWELL, WY 82435-2207
(307) 250-0645
(888) 247-7592
Mailing address
PO BOX 270, POWELL, WY 82435-0270
(307) 250-0645
(888) 247-7592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-838
WY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCSW-838
WY
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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