Individual
MS. LAURIE J. GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA, MED, NCC, LPC
Contact information
Practice address
401 SHADY AVE, SUITE D 104, PITTSBURGH, PA 15206-4409
(412) 365-2001
(412) 365-2087
Mailing address
401 SHADY AVE, SUITE D 104, PITTSBURGH, PA 15206-4409
(412) 365-2001
(412) 365-2087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC003375
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009891250002
—
PA
Enumeration date
04/14/2006
Last updated
07/09/2007
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