Individual
MRS. TAMMY LYNNE HOPPER GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
280 MAIN ST, STONEHAM, MA 02180
(781) 438-0038
(781) 438-2398
Mailing address
38 SHIRLEY RD, WALTHAM, MA 02452
(781) 209-0430
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1123
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
548801
PACIFICARE MP
MA
Enumeration date
04/04/2007
Last updated
07/08/2007
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