Individual
MRS. CELESTE A GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S POLK ST, SUITE 4, COVINGTON, LA 70433-2474
(985) 249-7780
Mailing address
1010 SOUTH POLK STREET 4, COVINGTON, LA 70433
(985) 893-2970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2734
LA
Other
Enumeration date
10/05/2006
Last updated
01/15/2009
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