Individual
LAURA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1705 WESTBROOK DR NW, WILSON, NC 27896-1567
(252) 281-4386
Mailing address
1705 WESTBROOK DRIVE, WILSON, NC 27896
(252) 281-4386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2689
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038510A
—
OK
Enumeration date
03/23/2006
Last updated
08/13/2007
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