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Individual

ALYSSA GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336
Mailing address
75 E QUEENWOOD RD, MORTON, IL 61550-2985
(309) 263-5565
(309) 263-9336

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019493
IL

Other

Enumeration date
01/11/2022
Last updated
01/11/2022
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