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Individual
MALIA GRAVES
Active
Individual
MALIA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT ASSOCIATE
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I5670
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I5670
LICENSED MARRIAGE AND FAMILY THERAPY ASSOCIATE
OR
Enumeration date
01/18/2022
Last updated
01/18/2022
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