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Individual

EHVAN GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3824 BARRETT DR STE 105, RALEIGH, NC 27609-7220
(919) 790-7795
Mailing address
6900 RIVER RUN APT 15, RALEIGH, NC 27613-3243
(919) 649-8145

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/22/2019
Last updated
10/22/2019
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