Individual
MR. HENRY FRANKLIN GRAHAM JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA,CCC-SLP
Contact information
Practice address
107 JADE CIR, ORANGEBURG, SC 29115-8166
(803) 533-8092
(803) 268-9603
Mailing address
107 JADE CIR, ORANGEBURG, SC 29115-8166
(803) 533-8092
(803) 268-9603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2674
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0217
—
SC
Enumeration date
05/06/2006
Last updated
07/09/2007
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