Individual
MRS. MARY ELLEN GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
18714 N VILLAGE, HAGERSTOWN, MD 21742-2454
(301) 733-0330
(301) 739-7380
Mailing address
PO BOX 1945, HAGERSTOWN, MD 21742-1945
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1015
MD
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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