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Individual

CARLA ADDISON GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
104 FLAT TAIL WAY, GREER, SC 29651-2807
(540) 525-0310
Mailing address
104 FLAT TAIL WAY, GREER, SC 29651-2807
(540) 525-0310

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007429
GA

Other

Enumeration date
01/27/2013
Last updated
02/10/2014
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