Individual
ANNA MARIE NICOLAISEN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
6400 ARLINGTON BLVD STE 920, FALLS CHURCH, VA 22042-2336
(703) 988-4178
Mailing address
6400 ARLINGTON BLVD STE 920, STE 920, FALLS CHURCH, VA 22042-2336
(703) 988-4178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932745270
PRIVATE PRACTICE
VA
Enumeration date
09/14/2024
Last updated
09/14/2024
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