Individual
DANIELLE MARIE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 W 1000 N, LOGAN, UT 84321-2240
(435) 512-7302
Mailing address
295 N 300 E, LOGAN, UT 84321-4154
(435) 512-7302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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