Individual
MICHAELLE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
112 N BROAD ST, RM 821, PHILADELPHIA, PA 19102-1512
(215) 568-0860
(215) 568-0769
Mailing address
2402 JACQUELINE DR, APARTMENT A-21, WILMINGTON, DE 19810-2007
(610) 620-8044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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