Individual
CAITLYN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 LAKE CLUB CT, #103, CHARLOTTESVILLE, VA 22902-7281
(910) 547-5694
Mailing address
215 LAKE CLUB CT, #103, CHARLOTTESVILLE, VA 22902-7281
(910) 547-5694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007297
VA
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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