Individual
MRS. NITA SUE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
55 S 500 E, HEBER CITY, UT 84032-1918
(435) 654-3003
(435) 654-3090
Mailing address
22 TIMBER LAKES EST, HEBER CITY, UT 84032-9651
(435) 654-3003
(435) 654-0309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6332320-3503
UT
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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