Individual
KERTRINA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 WILDWOOD DR, QUINBY, SC 29506-7240
(843) 610-0717
Mailing address
412 WILDWOOD DR, QUINBY, SC 29506-7240
(843) 610-0717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8700
SC
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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