Individual
MRS. ANGIE J GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8766 E. HWY 69, C/O DONNA THAXTON HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Mailing address
8766 E. HWY 69, C/O DONNA THAXTON HUMBOLDT UNIFIED SCHOOL DISTRICT/SSO, PRESCOTT VALLEY, AZ 86314
(928) 759-4042
(928) 759-4030
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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