Individual
NICOLE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
3941 DUKE LN, ABILENE, TX 79602-7475
(325) 513-5143
Mailing address
3941 DUKE LN, ABILENE, TX 79602-7475
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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