Individual
CAROLINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 E 700 S, SALT LAKE CITY, UT 84111-3805
(801) 707-1590
Mailing address
131 E 700 S, SALT LAKE CITY, UT 84111-3805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11332950-6009
UT
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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